Journal of Diagnostics Concepts & Practice ›› 2020, Vol. 19 ›› Issue (05): 450-453.doi: 10.16150/j.1671-2870.2020.05.002
• Experts forum • Previous Articles Next Articles
Received:2020-07-01
Online:2020-10-25
Published:2022-07-14
CLC Number:
| 项目 | 疑似原醛患者 （n=218） |
|---|---|
| 女性[n（%）] | 135（61.9） |
| 年龄（岁） | 56.8±18.2 |
| 筛查原因[n（%）] | |
| 持续性血压>160/100 mmHg或难治性高血压 | 100（45.9） |
| 高血压合并自发性或利尿剂所致的低血钾 | 47（21.6） |
| 高血压合并肾上腺意外瘤 | 27（12.4） |
| 早发高血压或脑卒中家族史的高血压患者 | 25（11.5） |
| 高血压合并阻塞型呼吸睡眠暂停综合征[n（%）] | 27（12.4） |
| 原醛患者的一级亲属中患高血压者[n（%）] | 13（6.0） |
| ARR检测[n（%）] | |
| 坐位或立位 | 153（70.2） |
| 卧位 | 49（22.5） |
| 坐位或立位+卧位 | 16（7.3） |
| 确诊试验[n（%）] | 109（50.0） |
| 卡托普利试验 | 73（33.5） |
| 静脉生理盐水滴注试验 | 32（14.7） |
| 卡托普利+静脉生理盐水滴注试验 | 4（1.8） |
| 血检查指标 | |
| 血钾（mmol/L） | 3.76±0.58 |
| 肌酐（μmol/L） | 62.30±15.20 |
| 尿酸（μmol/L） | 308.00±94.00 |
| 三酰甘油（mmol/L） | 1.86±1.45 |
| 总胆固醇（mmol/L） | 4.59±1.22 |
| 高密度脂蛋白胆固醇（mmol/L） | 1.21±0.37 |
| 低密度脂蛋白胆固醇（mmol/L） | 2.63±0.81 |
| 合并疾病[n（%）] | |
| 脑卒中 | 48（22.0） |
| 冠心病 | 39（17.9） |
| 糖尿病 | 42（19.3） |
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