中国全科医学2016，Vol.19Issue(31)：3888-3889,3890,3.DOI:10.3969/j.issn.1007-9572.2016.31.027
以严重低血钾为首发症状的垂体促肾上腺皮质激素瘤一例报告并文献复习
Pituitary Adrenocorticotrophic Hormone Adenoma with Severe Low Blood Potassium as Initial Symptom：A Case Report and Literature Review
宁翠利 1刘宽芝1
作者信息
- 1. 050000 河北省石家庄市，河北医科大学第三医院内分泌1科
- 折叠
摘要
Abstract
The paper retrospectively analyzes the clinical diagnosis and treatment process of one patient of pituitary adrenocorticotrophic hormone ( ACTH) adenoma with severe low blood potassium as initial symptom.The patient is misdiagnosed for two years due to ignorance of his signs; the patient after admission was given suppression test of small-dose and large-dose dexamethasone, pituitary MRI enhancement scan test and was finally diagnosed with Cushing′s disease; after transsphenoidal pituitary micro -adenomas surgery, patients′hypertension, blood potassium, blood glucose, cortisol and ACTH were reexamined and all were in the reference range.Besides considering as primary aldosteronism, clinician should also taking Cushing′s disease, into consideration when encounter hypertension patients combined with severe low blood potassium.关键词
分泌ACTH的脑垂体腺瘤/低钾血症/醛固酮增多症Key words
ACTH-secreting pituitary adenoma/Hypokalemia/Hyperaldosteronism分类
医药卫生引用本文复制引用
宁翠利,刘宽芝..以严重低血钾为首发症状的垂体促肾上腺皮质激素瘤一例报告并文献复习[J].中国全科医学,2016,19(31):3888-3889,3890,3.
