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https://doi.org/10.3760/cma.j.issn.0578-1426.2020.01.001
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Cite Journal: Chinese Journal of Internal Medicine |  Publication Date: Jan 1, 2020 |
原发性醛固酮增多症（PA）是常见的继发性高血压，由于不少临床医师未能想到对最初诊断的高血压患者进行PA筛查，以至有些患者发展到不可逆转的4~5期慢性肾脏疾病时才开始进行相关检测；PA患者与年龄、性别和血压水平相匹配的原发性高血压患者相比，其心、脑、肾血管事件的发生率和致死率高2~3倍；而临床实践指南可能也因为过于复杂而未能有效地促使更多的临床医师去考虑筛查PA。故应简化指南的诊断流程，特别是要简化针对药物使用的要求以及仅对重点推荐的进行PA筛查的患者类型。建议所有高血压患者均应进行至少一次PA的相关试验检查，选择简化、及时、性价比高、对患者损伤小的筛查和诊断方法，明确诊断后应遵从指南推荐，严格执法，进行正确规范化治疗。.
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