Tishenina R S, Kalinin A P, Fedorovich Iu N, Molchanova G S, Khzardzhian V G
Med Radiol (Mosk). 1985 Jul;30(7):27-31.
Hydrocortisone and aldosterone concentration was determined in 138 patients with arterial hypertension of adrenal and renal genesis in the blood of the adrenal veins and in the cistern of the vena cava inferior, that of deoxycorticosterone in 50 patients, ACTH in 51 and renin activity in the blood plasma of the renal veins in 21 patients. The concentration of steroid hormones adequately reflected adrenal cortex function facilitating differential diagnosis between renal and adrenal pathology variants. Differential diagnostic analysis on the basis of change in the concentration of steroid hormones was found difficult or impossible if the patients received steroidogenesis changing drugs on day, preceding veno graphic examination of the adrenals.
对138例肾上腺源性和肾源性动脉高血压患者测定了肾上腺静脉血和下腔静脉池中的氢化可的松和醛固酮浓度，对50例患者测定了脱氧皮质酮浓度，对51例患者测定了促肾上腺皮质激素（ACTH），对21例患者测定了肾静脉血浆中的肾素活性。类固醇激素浓度充分反映了肾上腺皮质功能，有助于鉴别肾性和肾上腺性病变的不同类型。如果患者在肾上腺静脉造影检查前一天服用了改变类固醇生成的药物，基于类固醇激素浓度变化进行鉴别诊断分析会很困难或无法进行。
