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患者,男,35岁.1991年1月起出现阵发性头痛、头晕、眼花、心悸,血压 28/21kPa,发作时高达32/25 kPa.服安体舒通、心痛定、双氢氯噻嗪等治疗.血压维持在 28/16kPa左右.25年前有颈淋巴结结核史.曾服抗痨药物不规则治疗好转.体检:肺(一),心率 86次/分,律齐,心尖区 Ⅱ°sm.实验室检查:血Cr 141.4μmol/L,血电解质正常范围.血沉3mm/h,抗 O<500U,OT试验1:10000及1:100000均阴性.ECT肾上腺皮质扫描未见异常.尿儿茶酚胺 42μmol/24h.尿Aldo 25.85nmol/d,血
Patient, male, age 35 years. Paroxysmal headache, dizziness, vertigo, palpitations, blood pressure 28 / 21kPa since January 1991, up to 32/25 kPa at the onset of seizures, spironolactone, nifedipine, hydrochlorothiazide and other treatment Blood pressure maintained at 28 / 16kPa or so .25 years ago, there is a history of cervical lymph node tuberculosis .Treatment of anti-tuberculosis drugs irregular treatment improved.Patients: lung (a), heart rate 86 beats / min, law Qi, apical area Ⅱ ° sm. Laboratory tests: blood Cr 141.4μmol / L, the normal range of blood electrolytes. ESR 3mm / h, anti-O <500U, OT test 1: 10000 and 1: 100000 were negative.ECT showed no abnormalities in adrenal cortex scanning. Urinary catecholamines 42μmol / 24h Urinary Aldo 25.85nmol / d, blood