急性产后高血压的内分泌病因
An Endocrine Cause of Acute Post-partum Hypertension.
作者信息
Bretherton Ingrid, Pattison David, Pattison Sarah, Varadarajan Suresh
机构信息
Department of Endocrinology, Austin Health, Heidelberg, Australia; Department of Endocrinology, Northern Health, Epping, Australia.
Department of Endocrinology, Northern Health, Epping, Australia.
出版信息
Obstet Med. 2013 Mar;6(1):30-32. doi: 10.1258/OM.2012.120012. Epub 2013 Mar 1.
Abstract
This is a case of acute peri-partum hypertension secondary to Conn's syndrome. The timing of presentation offers a rare insight into the hormonal physiology of pregnancy and its impact on blood pressure regulation. This case highlights the challenges of diagnosing primary hyperaldosteronism in the peripartum period and the high index of suspicion required by the obstetric physician.
摘要
这是一例继发于原发性醛固酮增多症的急性围产期高血压病例。发病时间为深入了解妊娠激素生理学及其对血压调节的影响提供了难得的视角。该病例凸显了围产期原发性醛固酮增多症诊断的挑战以及产科医生所需的高度怀疑指数。
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1
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J Pharmacol Pharmacother. 2011 Oct;2(4):266-9. doi: 10.4103/0976-500X.85956.
2
Laparoscopic treatment of primary hyperaldosteronism in a pregnant patient.腹腔镜治疗一名孕妇的原发性醛固酮增多症。
Can J Surg. 2009 Oct;52(5):E188-90.
3
Primary aldosteronism with aldosterone-producing adenoma consisting of pure zona glomerulosa-type cells in a pregnant woman.一名孕妇患有原发性醛固酮增多症，其醛固酮分泌性腺瘤由纯球状带型细胞组成。
Endocr Pathol. 2009 Spring;20(1):66-72. doi: 10.1007/s12022-009-9060-8.
4
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Ther Adv Cardiovasc Dis. 2009 Apr;3(2):123-32. doi: 10.1177/1753944708100180. Epub 2009 Jan 26.
5
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J Clin Endocrinol Metab. 2008 Sep;93(9):3266-81. doi: 10.1210/jc.2008-0104. Epub 2008 Jun 13.
6
Laparoscopic adrenalectomy on a patient with primary aldosteronism during pregnancy.
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7
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8
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9
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10
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