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Conn综合征(原发性醛固酮增多症,以下略)临床以高血压为主要表现。一般基层医院少见,并因为临床经验、内分泌检测技术和影像检查技术等条件所限,难以作出正确诊断,常误诊为高血压病。最近,我院收治1例误诊5年的Conn综合征患者,经手术治疗获得满意的治疗效果。现报道如下。患者女,56岁,发现高血压5年余,头晕、夜尿多、发作性双睑无力10月余入院。5年来服用降压药无效,且血压渐增至29.3～34.6/14.6～21.3 kPa之间,上述症状逐渐加重,右腰出现隐痛,偶牵扯至背部,常感心悸,无畏寒发热,无夜惊多汗,无尿频、尿急、血尿,亦无手足搐搦等。查体T 36.7℃,P84次/分,
Conn syndrome (primary aldosteronism, the following slightly) clinically high blood pressure as the main performance. The common primary hospital is rare, and because of clinical experience, endocrine detection technology and imaging technology and other conditions are limited, it is difficult to make the correct diagnosis, often misdiagnosed as hypertension. Recently, 1 case of Conn’s syndrome who had been misdiagnosed for 5 years was treated in our hospital and received satisfactory results after surgery. Report as follows now. Female patient, 56 years old, found more than 5 years of hypertension, dizziness, nocturia and more, episodes of eyelid weakness more than 10 months admitted to hospital. Over the past five years taking antihypertensive drugs ineffective, and blood pressure increased to between 29.3 ~ 34.6 / 14.6 ~ 21.3 kPa, the above symptoms gradually increased, the right waist appeared painful, even pulled to the back, often feel palpitations, no chills fever, no night scared Hyperhidrosis, urinary frequency, urgency, hematuria, no tetany and so on. Physical examination T 36.7 ℃, P84 times / min,