原发性醛固酮增多症的诊断与治疗

肾脏病与透析肾移植杂志 ›› 2012, Vol. 21 ›› Issue (5): 460-465.

原发性醛固酮增多症的诊断与治疗

出版日期:2012-10-24 发布日期:2012-10-24

Diagnosis and treatment of primary aldosteronism

Online:2012-10-24 Published:2012-10-24

摘要/Abstract

摘要：

摘要：原发性高醛固酮血症（原醛）是继发性高血压中最常见的病因，以往通常只对低血钾的高血压患者进行原醛相关的筛查。近期研究表明原醛患者中仅有25%可见低血钾表现，在目前所有新发高血压患者中原醛患者的发生率可占到10-15%。本文就原醛的诊断与治疗做一综述。

Abstract:

ABSTRACT Primary aldosteronism is the most common cause of secondary hypertension. In the past, screening for primary aldosteronism was offered only in patients with hypertension associated with hypokalemia. Recent studies showed that hypokalemia was examined in only 25% of the patients with primary aldosteronism, which has increased the prevalence of primary aldosteronism to 10–15% of all cases with new onset hypertension. The article reviews the diagnosis and treatment of primary aldosteronism.

Key words: secondary hypertension, primary aldosteronism, adrenal cortex

龚伟，谢红浪. 原发性醛固酮增多症的诊断与治疗[J]. 肾脏病与透析肾移植杂志, 2012, 21(5): 460-465.

GONG Wei, XIE Hong-lang. Diagnosis and treatment of primary aldosteronism[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, 2012, 21(5): 460-465.

ISSN 1006-298X CN 32-1425/R