Casper F, Seufert R, Riedmiller H, Bauer H
Frauenklinik, Universität Mainz, BRD.
Gynakol Rundsch. 1990;30(1):16-21.
Primary hyperaldosteronism (Conn's syndrome) rarely occurs during pregnancy. The concurrence of hypertension combined with hypokalemia and revealing subjective symptoms such as paresthesia, muscular weakness and lassitude can suggest this infrequent diagnosis. The diagnosis is confirmed on the one hand by chemical tests demonstrating an aldosterone level far above normal and clearly suppressed renin activity, and on the other hand through ultrasound for a morphological diagnosis. We consider causal surgical treatment with adrenalectomy as the therapy of choice during early pregnancy.
原发性醛固酮增多症(康恩综合征)在孕期很少发生。高血压合并低钾血症以及出现如感觉异常、肌肉无力和倦怠等主观症状,可能提示这一罕见诊断。一方面,通过化学检测显示醛固酮水平远高于正常且肾素活性明显受抑制来确诊,另一方面通过超声进行形态学诊断。我们认为在孕早期,以肾上腺切除术进行病因性手术治疗是首选治疗方法。