PREOPERATIVE DIAGNOSIS AND LOCALIZATION OF ALDOSTERONOMAS BY MEASUREMENT OF CORTICOSTEROIDS IN ADRENAL VENOUS-BLOOD

被引：57

作者：

DUNNICK, NR ^{[1
]}

DOPPMAN, JL ^{[1
]}

MILLS, SR ^{[1
]}

GILL, JR ^{[1
]}

机构：

[1] NHLBI,HYPERTENS ENDOCRINE BRANCH,BETHESDA,MD 20014

来源：

RADIOLOGY | 1979年 / 133卷 / 02期

关键词：

D O I：

10.1148/133.2.331

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Adrenal venous aldosterone/cortisol ratios were determined in 14 patients with primary aldosteronism. Of 12 patients diagnosed as having an adrenal adenoma, ten underwent surgery in which an adenoma was found. Bilateral adrenal hyperplasia was thought to have developed in two other patients. Measurement of adrenal vein cortisol and establishment of aldosterone/cortisol ratios were done to correct for catheter placement and dilute adrenal efflux. Determination of steroids after ACTH stimulation was helpful in distinguishing quiescent from suppressed adrenal in two patients and in confirming the diagnosis of the others.

引用

页码：331 / 333

页数：3

共 13 条

[1] ROLE OF ABDOMINAL RADIOGRAPHY IN HYPERTENSION SECONDARY TO RENAL OR ADRENAL DISEASE [J].