在原发性醛固酮症开始治疗以前,鉴别肾上腺腺癌与特发性双侧肾上腺增生是重要的,因为只有肾上腺腺瘤病人作腺瘤切除后才会使高血压消退。作者对5例腺癌、4例增生(后来均经手术证实)。15例正常人和13例特发性高血压患者作了尿生化研究。每例受试者先接受7天的正规钠饮食(150mEq/d),然后7天低钠(15～20mEq/d)饮食,最后7天高钠(400mEq/d)饮食,整个实验中饮食 It is important to identify adrenal adenocarcinoma and idiopathic bilateral adrenal gland hyperplasia before primary aldosteronism begins treatment because hypertension is subsided only after adenoma excision of the adrenal adenoma. The authors of 5 cases of adenocarcinoma, 4 cases of hyperplasia (later confirmed by surgery). Urinary biochemical studies were performed in 15 normal subjects and 13 patients with idiopathic hypertension. Subjects underwent a seven-day normal sodium diet (150 mEq / d) followed by a seven-day low sodium (15-20 mEq / d) diet and a final seven-day high sodium (400 mEq / d) diet.