Clinical Analysis of 25 Cases of Primary Aldosteronism

YANG Zengrong; GONG Jinlong

Abstract：Objective To provide reference for the clinical diagnosis of PA from retrospectively analyzing the clinical data of pri-mary aldosteronism (PA). Methods 25 patients diagnosed with PA were selected and their clinical performance, biochemical test re-sults, imaging findings, the damage, treatment and prognosis of the target organ were analyzed inductively. Results The age and ser-um potassium levels of female patients were higher than those of male patients (P<0. 05). The BMI and diastolic blood sodium levels of women were lower than those of the male patients (P<0. 05). There were 96. 0% positive adrenal lesions of CT and 92. 0% MRI, which was basically in line with the rate of positive pathologic diagnosis (92. 0% ). Patients experienced various degrees of target organ damage, among which, the extent of damage of the carotid artery atherosclerotic plaque formation was maximum (80. 0% ), altogether 20 cases. 25 patients all underwent surgery, and after one week of the treatment, the number of normotensives was 15 cases (60. 0% ), with 20 cases of normal serum potassium (80. 0% ). Conclusion Scientific diagnosis and early operation for PA can ef-fectively improve the clinical symptoms and the prognosis of the patients, which prove to be clinically valuable.