患者女性,52岁,高血压5年,进行性肥胖2年半,伴发作性心悸1年入院。病程中血压波动于18.6～26.6/12～20 kPa,肥胖限于腹和臀部,体重由64kg增至73 kg,同时出现月经紊乱和发作性心悸。 体检 Bp 18.6/12 kPa,向心性肥胖,满月脸,多血质面容,额面部汗毛增多且浓,水牛背,腹围115cm,腰,臀及大腿内侧均见紫纹。 化验 血钾4.5mmol/L,钠133mmol/L,氯化物103mmol/L;小剂量地塞米松抑制试验呈延迟反 The female patient, 52 years old, had hypertension for 5 years, had sexual obesity for 2 years and a half, and had paroxysmal palpitations for 1 year. During the course of the disease, blood pressure fluctuates from 18.6 to 26.6/12 to 20 kPa. Obesity is limited to the abdomen and buttocks, and body weight increases from 64 to 73 kg. Menstrual disorders and paroxysmal palpitations are also present. Physical examination Bp 18.6/12 kPa, central obesity, full moon face, more bloody face, frontal facial hair increased and thick, buffalo back, abdominal circumference 115cm, waist, hip and inner thighs are seen purple lines. Laboratory tests Blood potassium 4.5mmol/L, sodium 133mmol/L, chloride 103mmol/L; low-dose dexamethasone inhibition test was delayed