肾上腺静脉采血术后肾上腺出血患者原发性醛固酮增多症的管理：附病例说明的简要综述
Management of primary aldosteronism in patients with adrenal hemorrhage following adrenal vein sampling: A brief review with illustrative cases.
作者信息
Hannah-Shmouni Fady, Demidowich Andrew, Alves Beatriz Rizkallah, Paluch Gabriela Dockhorn, Margarita Dionysiou, Lysikatos Charalampos, Belyavskaya Elena, Chang Richard, Stratakis Constantine A
机构信息
Section on Endocrinology & Genetics (SEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, USA.
Interventional Radiology Section, Diagnostic Radiology Department, Clinical Center, NIH, Bethesda, MD, USA.
出版信息
J Clin Hypertens (Greenwich). 2017 Dec;19(12):1372-1376. doi: 10.1111/jch.13059. Epub 2017 Sep 9.
The authors describe the clinical investigation of two cases of primary aldosteronism with adrenal hemorrhage (AH) following adrenal vein sampling. A literature review was conducted regarding the medical management of primary aldosteronism in patients with AH following adrenal vein sampling. Guidelines on the management of primary aldosteronism with AH following adrenal vein sampling are lacking. The two patients were followed with serial imaging to document resolution of AH and treated medically with excellent blood pressure response. Resolution of AH was achieved, but a repeat adrenal vein sampling was deferred given the increased morbidity risk associated with a repeat procedure.
作者描述了两例肾上腺静脉采样后发生肾上腺出血（AH）的原发性醛固酮增多症的临床研究。针对肾上腺静脉采样后AH患者原发性醛固酮增多症的药物治疗进行了文献综述。目前缺乏肾上腺静脉采样后AH的原发性醛固酮增多症管理指南。对这两名患者进行了系列影像学检查以记录AH的消退情况，并给予药物治疗，血压反应良好。AH已消退，但鉴于重复操作相关的发病风险增加，推迟了重复肾上腺静脉采样。
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