低血钾对原发性醛固酮增多症诊断的影响.pdfVIP

《上海生物医学工程》杂志2005 年第 26 卷第 3 期 1·73 · 临床医学 低血钾对原发性醛固酮增多症诊断的影响 李闻鹏 　张 　哲 　郑娟兰 ( ) 浙江大学医学院附属第一医院内分泌科 　 杭州 310003 ( ) 　【摘要】　目的 :探讨低血钾对原发性醛固酮增多症 原醛 患者醛固酮水平的影响。方法 : 回顾性分析29 例原醛患者 ,这些患者均接受血、尿醛固酮测定及立卧位速尿激发试验 ,并进行手术治疗。观察原醛患者血 ( ) ( 钾与醛固酮分泌的关系。结果 :原醛患者低血钾时出现醛固酮正常的比例 8/ 16 ,50 % 较正常血钾组高 2/ ) 13 ,15. 4 % , P 0 . 05 。结论 :低血钾可以抑制原醛患者尤其是特发性醛固酮增多症患者的醛固酮水平。 【关键词】　原发性醛固酮增多症 　醛固酮 　低血钾 Effect of Hypokalemia on Diagnosis of primary Aldosteronism Li Wenpeng 　Zhang Zhe 　Zheng Juanlan Department of Endocrinology and Metabolism ,First Affiliated ( ) Hospital ,Medicial college , Zhejiang University 　 Hangzhou 310003 ( ) 　　【Abstract 】　Objective :To evaluate the effect of hypokalemia on diagnosis of primary aldosteronism PA . Meth ods :There are 29 PA patients from 2002 to 2004 included in this retrospective study. They all were done serum and urine aldosterone assay , posture stimulation test and treated by surgery. All patients were divided two groups :A group with ( ) ( ) hypokalemia 16 patients and B group with nomal serum potassium 13 patients . The relationship between hypokalemia and aldosterone level was analyzed. Results :Eight patients in A group , had normal aldosterone level (50