ACTH兴奋试验在原发性醛固酮增多症分型诊断中的作用

来源 :中华医学会第十三次全国内分泌学学术会议 | 被引量 : 0次 | 上传用户:abby412
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目的 探讨小剂量地塞米松抑制试验(DST)后ACTH兴奋试验在原发性醛固酮增多症分型诊断中的价值.方法 回顾性分析2012年10月至2013年12月在上海瑞金医院内分泌科住院经生理盐水试验确诊原醛症患者91例,根据肾上腺静脉采血及术后病理结果,分为特发性醛固酮增多症(1HA)35例,醛固酮腺瘤(APA)35例,单侧结节样增生(UAH)21例.所有患者均予以1mg地塞米松抑制试验后静推50uACTH分别抽取试验0min,30min,60min,90min,120min时血液测定皮质醇、醛固酮激素.所有数据均采用SPSS19.0统计学软件分析.
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