原发性醛固酮增多症系以自主性醛固酮分泌增多为特征的常见内分泌性高血压,可分为肾上腺醛固酮瘤(APA)、特发性醛固酮增多症(IHA)、糖皮质激素可抑制性醛固酮增多症(GRA)、原发性肾上腺皮质增生、醛固酮腺癌等类型,其中以APA及IHA多见[1]。原发性醛固酮增多症的治疗方案因其分型不同而异,APA宜及早采用手术治疗,IHA及GRA则以药物治疗为宜,故及时明确原发性醛固酮增多 Primary aldosteronism is an autonomic aldosterone secretion characterized by increased common endocrine hypertension can be divided into adrenal aldosterone tumor (APA), idiopathic aldosteronism (IHA), glucocorticoid inhibitory aldosteronism (GRA), primary adrenal hyperplasia, aldosterone and other types of adenocarcinoma, including APA and IHA more common [1]. Treatment of primary aldosteronism because of its different subtypes, APA should be treated as soon as possible, IHA and GRA is appropriate drug treatment, it is timely and clear increase of primary aldosteronism