摘要
原发性醛固酮增多症是一种因肾上腺过量分泌醛固酮而引起的内分泌疾病。临床特点常常表现为难治性的高血压及顽固性低钾血症。除药物治疗以外,外科手术治疗往往能取得较为理想的治疗效果。本文主要阐述原发性醛固酮增多症的常见临床表现、筛查及诊断方法,探讨手术处理单侧醛固酮腺瘤、单侧肾上腺皮质增生的临床策略和术后预后情况。
Primary aldosteronism is a type of endocrine diseases caused by excessive secretion of aldosterone by adrenal glands.Refractory hypertension and hypokalemia are known as common clinical features.In addition to medical therapy,surgical treatment can achieve a better therapeutic effect.This article mainly describes the common clinical manifestations,screening test and confirming diagnosis of primary aldosteronism,and discusses the clinical strategy and postoperative prognosis of unilateral aldosteronism adenoma and unilateral adrenal hyperplasia via surgery.
作者
王旭
赵扬
王站
张玉石
Wang Xu;Zhao Yang;Wang Zhan;Zhang Yushi(Department of Urology,Peking Union Medical College Hospital,Chinese Academy of Medical Science,Beijing 100730,China)
出处
《中华内分泌外科杂志》
CAS
2021年第6期564-567,共4页
Chinese Journal of Endocrine Surgery
基金
国家自然科学基金(81770427)。
作者简介
通信作者:张玉石, Email:beijingzhangyushi@126.com,电话:010-69152511。
