康恩综合征及其腹腔镜治疗

J. Padilla-Piña, J. Arriaga-Aguilar, R.A. García-Vásquez, A. Razo-Garcia, F.E. Garcia-Martinez, J. Lopez-Chente-Casado, A. Zárate-Morales, I. Gerardo-Osuna, M.C. Candia-Plata, M. Garcia-Díaz, A. Vazquez-Galves, I.E. García-López
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引用次数: 0

摘要

高血压是普通人群中最常见的疾病之一,据估计影响约26%的世界人口。高血压患者由于中风、急性冠状动脉综合征和心力衰竭而有更高的发病率和死亡率。原发性醛固酮增多症引起的醛固酮分泌过多是一种可以治愈的高血压。腹腔镜肾上腺切除术是进入肾上腺的标准,降低了该手术的发病率和死亡率。据报道,30-90%的患者在平均6个月后血压恢复正常。本文报告一例原发性醛固酮增多症的女性患者。诊断是通过测定肾素和醛固酮水平,并通过有或没有对比的断层扫描研究。发现高分泌性腺瘤并行腹腔镜肾上腺切除术。建议跨学科治疗,以排除肾上腺源性高血压的多种病理。这样的处理导致有效的药物治疗,然后可以进行腹腔镜肾上腺切除术。
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Síndrome de Conn y su manejo laparoscópico

High blood pressure is one of the most frequent pathologies in the general population and is estimated to affect approximately 26% of the world population. Hypertensive patients have greater morbidity and mortality due to stroke, acute coronary syndromes, and heart failure. The excessive production of aldosterone caused by primary aldosteronism is one form of high blood pressure that can be cured. Laparoscopic adrenalectomy is the criterion standard for the approach to the adrenal gland, reducing the morbidity and mortality of that procedure. High blood pressure is reported to reach normal figures at an average of 6 months in 30-90% of the patients. Presented herein is the case of a female patient with primary aldosteronism. Diagnosis was made by determining renin and aldosterone levels and through tomography studies with and without contrast. A hyper-secreting adenoma was found and laparoscopic adrenalectomy was performed. Interdisciplinary management is recommended for ruling out multiple pathologies that condition high blood pressure of adrenal gland origin. Such management leads to efficacious medical treatment and laparoscopic adrenalectomy can then be performed.

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来源期刊
Revista mexicana de urologia
Revista mexicana de urologia Medicine-Urology
CiteScore
0.20
自引率
0.00%
发文量
49
期刊介绍: Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
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