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相關文獻
- A Simulation Study on Renin and Aldosterone Secretions in Primary Aldosteronism
- 原發性皮質醛酮過多症之電腦斷層攝影診斷:初期報告
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- Primary Aldosteronism (1):Pathologic Study
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- 原發性皮質醛酮過多症病例報告及文獻回顧
- Circulating pituitary hormones in primary aldosteronism
頁籤選單縮合
題名 | 原發性皮質醛酮過多症病例報告及文獻回顧 |
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作者 | 張豐年; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 13:1 1980.03[民69.03] |
頁次 | 頁83-91 |
關鍵詞 | 原發性皮質醛酮過多症; |
語文 | 中文(Chinese) |
中文摘要 | 1. 榮民總院自1971年來有4例原發性皮質醛酮過多症輕手術證實。3例為腺瘤,1例為腺瘤性增生。腺瘤對於Spironolactone的反應及手術治療皆此腺癌性增生良好。 2. 原發性皮質醛酮過多症絕大致上是可治癒的病。 3. 具有高血壓及低血鉀症狀的人,應該懷疑是原發性皮質醛酮過多患者。 4. 生化診斷的意藉為低血漿腎素居住及高皮質醛酮值。 5. 鑑別腺瘤及皮質增生最主要的是腎上腺靜脈造影術及其血液醛酮值的測定。 |
英文摘要 | Primary aldosteronism is a clinical syndrome characterized by hypertenslon, hypokalemia and metabolic alkalosis. The two commonest causes are adenoma and idopathic bilateral hyperplasia of the adrenal cortex. Diagnosisis principally made on the assessment of low plasma renin activity and high plasma aldosterone. Unilateral adrenalectomy is the rule for treatment of adenoma. To hyperplasia controversy about medical treatment with spironolactone or surgery with subtotal or total adrenalectomy exists. The prognosis of adenoma is better than hyperplasia. Four case's, 3 adenomas and 1 adenomatous hyperplasia, were presented. All cases had been preoperatively prepared with spironolactone and undergone surgery. Fair to excellent results had been obtained. |
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