肾上腺消融术治疗原发性醛固酮增多症应慎重开展:内分泌科观点
曾正陪,陈康
摘要(Abstract):
<正>原发性醛固酮增多症(原醛症)是继发性高血压常见的内分泌肾上腺性高血压,近年来随着对该病认识的提高,激素检测技术的快速发展,报告其患病率明显增高~([1-5])。2020年美国一项横断面研究以口服钠抑制试验时测定尿醛固酮水平>12μg/24 h为诊断标准,在血压正常、Ⅰ级、Ⅱ级和难治性高血压患者中的原醛症患病率分别为11.3%、15.7%、21.6%和22.0%~([6])。
关键词(KeyWords): 原发性醛固酮增多症;醛固酮瘤;肾上腺增生;肾上腺肿瘤消融术;肾上腺动脉栓塞术
基金项目(Foundation):
作者(Author): 曾正陪,陈康
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