最近审阅: 26 十月 2020
最近更新: 13 三月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 高血压
  • 存在的危险因素

其他诊断因素

  • 年龄为 20 岁至 70 岁
  • 夜尿、多尿
  • 昏睡
  • 情绪障碍(易激惹、焦虑、抑郁)
  • 注意力难以集中
  • 感觉异常、肌肉痉挛
  • 肌无力
  • 心悸

危险因素

  • PA 家族史
  • 早发高血压和/或卒中家族史

诊断性检查

首要检查

  • 血浆钾
  • 醛固酮/肾素比值
更多 首要检查

需考虑的检查

  • 氟氢可的松抑制试验
  • 输入盐水试验
  • 口服盐负荷
  • 融合基因的基因检测
  • 肾上腺 CT
  • 肾上腺静脉采血
  • 肾上腺 MRI
  • 肾上腺硒甲基胆固醇扫描
  • 体位刺激试验
  • 血管紧张素 II 输注试验
  • 24 小时尿混合类固醇(18-羟基和 18-氧-皮固醇)
  • 地塞米松抑制试验
更多 需考虑的检查

治疗流程

撰稿人

Michael Stowasser

Professor

Endocrine Hypertension Research Centre

University of Queensland School of Medicine

Greenslopes and Princess Alexandra Hospitals

Brisbane

Queensland

Australia

利益声明

MS is an author of references cited in this monograph.

Richard D. Gordon

Professor

Endocrine Hypertension Research Centre

University of Queensland School of Medicine

Greenslopes and Princess Alexandra Hospitals

Brisbane

Queensland

Australia

利益声明

RDG is an author of references cited in this monograph.

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Department of Medicine and Experimental Oncology

Division of Medicine and Hypertension

San Giovanni Battista Hospital

Torino

Italy

利益声明

PM declares that he has no competing interests.

Clinical Professor

Department of Family Medicine

University of North Carolina

Chapel Hill

Assistant Program Director

MAHEC Rural Family Medicine Residency

Hendersonville

NC

利益声明

WM declares that he has no competing interests.

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