Vallotton M B
Schweiz Med Wochenschr. 1976 Aug 21;106(34):1141-7.
A close relationship exists between the endocrine system and hypertension. A brief survey is conducted of the endocrine diseases most frequently associated with high blood pressure. The available means for preoperative differentiation of an aldosterone-producing adenoma from idiopathic aldosteronism with bilateral hyperplasia are considered. For cases where high blood pressure is the principal presenting sign in a patient without overt endocrinopathy, the diagnostic resources for the detection of a hormonal cause--particularly renin--are critically examined.
内分泌系统与高血压之间存在着密切的关系。本文对最常与高血压相关的内分泌疾病进行了简要概述。文中还探讨了术前鉴别醛固酮瘤与双侧增生性特发性醛固酮增多症的现有方法。对于那些以高血压为主要表现且无明显内分泌病变的患者,文中对检测激素病因(尤其是肾素)的诊断资源进行了严格审查。