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[原发性醛固酮增多症。两例报告]

[Primary hyperaldosteronism. Report of two cases].

作者信息

Accetta Pietro, Accetta Italo, Accetta Renato, Campos Keila Borba, Accetta Antônio Carlos

机构信息

Faculdade de Medicina, Universidade Federal Fluminense, Niterói, RJ, BR.

出版信息

Rev Col Bras Cir. 2010 Aug;37(4):311-3. doi: 10.1590/s0100-69912010000400015.

Abstract

The authors present two cases of primary hyperaldosteronism, caused by functioning adenoma of the adrenal's cortex. The two females patients presented classic symptoms of the Conn's disease, especially hypokalemia and hypertension. Both were operated and unilateral adrenalectomy was done, with excellent outcome in one and satisfactory in the other one. It is discussed many aspects related to the incidence, the problems with the diagnosis, indication and surgery treatment.

摘要

作者报告了两例由肾上腺皮质功能性腺瘤引起的原发性醛固酮增多症病例。两名女性患者均表现出原发性醛固酮增多症的典型症状,尤其是低钾血症和高血压。两人均接受了手术,进行了单侧肾上腺切除术,其中一例效果极佳,另一例效果令人满意。文中讨论了与发病率、诊断问题、适应证及手术治疗相关的诸多方面。

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