作者在阐述肾上腺主要疾患的问诊时,也讨论了原发性醛固酮症。认为本症的主要临床所见为高血压和低血钾。其主要症状为头痛,肌力减退,多饮,多尿,麻痹发作,肌不快感,感觉异常和抽搐等。多尿则表现为夜尿增多。这些症状中除头痛症状之外均为低血钾所致,所以,原发性醛固酮症初期无低血钾者就没有上述症状,因此,不测定血浆肾素和醛固酮就不可能及时作出诊断。原发性醛固酮症的典型症状是周期性麻痹,麻痹 The authors also discuss primary aldosteronism in the presentation of major adrenal disorders. The main clinical evidence of this condition is high blood pressure and hypokalemia. The main symptoms of headache, muscle weakness, polydipsia, polyuria, paralysis, muscle discomfort, sensory abnormalities and convulsions. Polyuria is manifested as increased nocturia. These symptoms are caused by hypokalemia, except for headache symptoms. Therefore, no symptoms of hypokalemia in primary aldosteronism are not seen in these patients. Therefore, it is impossible to make timely diagnosis without determination of plasma renin and aldosterone. The typical symptom of primary aldosteronism is periodic paralysis and paralysis