試題詳解

22. 某30歲女性因高血壓(BP 210/130 mmHg)與低血鉀(K =2.8 mmol/L), 動脈血氣體分析為pH 7.45, PaCO2 53mmHg , HCO3 32.7mEq/L . 其基準的血漿腎素活性 (Plasma renin activity, PRA 0.07 ng.mL/hr;) 血漿留鹽激素(Plasma aldosterone; PA 43.7 ng/mL);經四小時二公升生理鹽水輸注後: PRA為0.2 ng/mL/hr, PA 為19 ng/mL);請問最可能之診斷為何?
(A) Diuretic use
(B) Congenital adrenal hyperplasia
(C) Primary aldosteronism
(D) Cushing syndrome
(E) Licorice ingestion