Newrick P G, Millar N, Penney M, Corrall R J
Department of Medicine, Bristol Royal Infirmary, UK.
Postgrad Med J. 1992 Aug;68(802):686-8. doi: 10.1136/pgmj.68.802.686.
A case of primary renal renin secretion of probable neoplastic origin is reported. Investigation demonstrated renin secretion to be incompletely autonomous with suboptimal suppression to posture and hypervolaemia. Easy control of the hypertension and hypokalaemia was achieved with an angiotensin converting enzyme inhibitor. Such treatment may prove to be a preferable option to surgery.
报告了一例可能起源于肿瘤的原发性肾素分泌病例。研究表明,肾素分泌并非完全自主,对体位和血容量过多的抑制效果欠佳。使用血管紧张素转换酶抑制剂可轻松控制高血压和低钾血症。这种治疗方法可能被证明是比手术更可取的选择。