药物联合治疗加超选择性肾上腺动脉栓塞术治疗原发性醛固酮增多症1例分析
陈硕,周锐飞,熊洪亮,董一飞
摘要(Abstract):
<正>1临床资料患者男,35岁,主因"反复胸闷、气短、夜间不能平卧5个月"于2018年6月20日收入南昌大学第二附属医院治疗。自诉2018年1月始常于活动后出现胸闷、气短不适,伴大汗淋漓,休息后可缓解,夜间不能平卧,伴咳嗽、咳痰,痰中带血丝,量较多。既往发现血压升高5年余,最高达180/120 mmHg(1 mmHg=0.133 kPa),未予治疗;吸烟10余年,10~20支/d;无高血压病家族史。入院查体:心率102次/分,血压165/122mmHg,颈静脉充盈,双肺可闻及湿性啰音,心尖搏动位于左锁骨中线外1cm处,未触及震颤,双下肢重度凹陷性水肿,其余查体未见明显异常。实验室检查示:红细胞
关键词(KeyWords): 高血压病;心力衰竭;原发性醛固酮增多症;超选择性肾上腺动脉栓塞术
基金项目(Foundation): 国家自然科学基金(81960088);; 江西省科学技术厅重点研发项目一般项目(201-71BBG70088);; 江西省“5511”科技创新人才项目(20165BCB180-20)
作者(Author): 陈硕,周锐飞,熊洪亮,董一飞
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