31卷1期疑难病案讨论选登

发布时间：2018-04-01 21:45

本文选题：肾上腺皮质腺瘤　切入点：继发性高血压　出处：《实用妇产科杂志》2015年05期

【摘要】：正1诊断肾上腺皮质腺瘤;原发性醛固酮增多症;继发性高血压;子宫肌瘤;宫颈息肉。2诊断依据患者57岁,下腹胀痛15天,发现盆腔包块4天,有高血压、冠状动脉粥样硬化病史4年,血压最高达160/110 mmH g,同时伴有夜尿增多症状。患者自发病以来无恶心、呕吐、胸闷、心悸等症状,且体重无明显改变。其中高血压、夜尿多符合肾上腺皮质腺瘤这一诊断分类为原发性醛固酮增多症的症状。
[Abstract]:Positive 1 diagnosis of adrenocortical adenoma; primary aldosteronism; secondary hypertension; uterine leiomyoma; cervical polyp .2 diagnosis based on the patient's age of 57 years, pain in the lower abdomen for 15 days, pelvic mass found in 4 days, hypertension,Coronary atherosclerosis history of 4 years, blood pressure up to 160 / 110 mmH / g, accompanied by nocturia symptoms.The patient had no symptoms of nausea, vomiting, chest tightness, palpitations, and no significant changes in body weight.Hypertension, nocturnal urine and adrenocortical adenoma were diagnosed as symptoms of primary aldosteronism.
【作者单位】：青海省西宁市第二人民医院;
【分类号】：R736.6;R737.33

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