Kreze A, Kothaj P, Dobáková M, Rohon S
Internal Clinic, F. D. Roosevelt's Hospital, Banska Bystrica, Slovak Republic.
Wien Klin Wochenschr. 1999 Oct 29;111(20):855-7.
Pregnancy in conjunction with primary aldosteronism is an unusual occurrence. We report a 28-year-old woman who presented with mild hypertension and hypokalemia as manifestations of primary aldosteronism caused by an aldosterone-producing adenoma in the left adrenal gland during pregnancy. Although the diagnosis was straightforward, the patient refused to undergo the proposed operation during the second trimester of her pregnancy. She was not admitted to hospital until she developed EPH gestosis in the 27th week of gestation, which had an unfavourable outcome for the infant who died nine days after delivery. The patient underwent a laparoscopic adrenalectomy which resulted in normalization of blood pressure and blood potassium levels. In cases of aldosterone-producing adenoma, surgery in the second trimester is the most appropriate option to avoid a poor obstetric outcome.
妊娠合并原发性醛固酮增多症是一种罕见的情况。我们报告一名28岁女性，她在妊娠期间因左肾上腺产生醛固酮的腺瘤而出现轻度高血压和低钾血症，这是原发性醛固酮增多症的表现。尽管诊断明确，但患者在妊娠中期拒绝接受建议的手术。直到她在妊娠第27周出现妊娠高血压综合征，才入院治疗，这对婴儿产生了不利影响，婴儿在出生九天后死亡。患者接受了腹腔镜肾上腺切除术，术后血压和血钾水平恢复正常。对于产生醛固酮的腺瘤病例，妊娠中期手术是避免不良产科结局的最合适选择。
