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h-1"></a> <div id="wiwey260ym" class="title fg1 f42 w-1 ellipsis tac fcf ml10 mr10">促腎上腺皮質(zhì)激素高會(huì)引起高血壓?jiǎn)?/div> <div id="wiwey260ym" class="right-menu fs0 h-1 flex"> <a href="javascript:;" on="tap:header-sub-wrap.toggle" class="top-icon-menu h-1 fs0"></a> </div> </header> <mip-toggle id="header-sub-wrap" class="none" layout="nodisplay"> <div id="wiwey260ym" class="top_menus"> <div id="wiwey260ym" class="clr"> <a href="http://m.sjzbaoyatu.com" class="fll cell">首頁(yè)</a> <a class="fll cell yiyuan">醫(yī)院</a> <a href="http://m.sjzbaoyatu.com/dise/" class="fll cell jibing">疾病</a> <a href="http://m.sjzbaoyatu.com/doctor/" class="fll cell yisheng">醫(yī)生</a> <a href="http://m.sjzbaoyatu.com/zx/" class="fll cell zixun">資訊</a> <a href="http://m.sjzbaoyatu.com/video/" class="fll cell shipin">視頻</a> <a href="http://m.sjzbaoyatu.com/voice/" class="fll cell yuyin">語(yǔ)音</a> <a href="http://m.sjzbaoyatu.com/article/" class="fll cell wenzhang">文章</a> <a 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taj"><p>促腎上腺皮質(zhì)激素升高可能會(huì)引起高血壓，主要與庫(kù)欣綜合征、垂體腺瘤等疾病相關(guān)。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/A9/E0/ooYBAGlJCqWANznbAApYDcJPcFM494.jpg"></p><p>促腎上腺皮質(zhì)激素由垂體分泌，其水平升高會(huì)刺激腎上腺皮質(zhì)分泌過(guò)量皮質(zhì)醇。皮質(zhì)醇具有水鈉潴留作用，長(zhǎng)期過(guò)量可導(dǎo)致血容量增加、外周血管阻力上升，進(jìn)而引發(fā)血壓升高。典型表現(xiàn)為向心性肥胖、皮膚紫紋、血糖升高等庫(kù)欣綜合征特征。臨床診斷需結(jié)合血漿促腎上腺皮質(zhì)激素、24小時(shí)尿游離皮質(zhì)醇檢測(cè)及地塞米松抑制試驗(yàn)。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/61/D7/oYYBAGlJCqWAWIEoAAq3kFc0Ojw414.jpg"></p><p>部分患者可能出現(xiàn)假性醛固酮增多癥表現(xiàn)，如低鉀血癥、代謝性堿中毒等。這種情況多見(jiàn)于異位促腎上腺皮質(zhì)激素分泌綜合征，常見(jiàn)于小細(xì)胞肺癌、胸腺瘤等惡性腫瘤。血壓升高程度往往與激素水平呈正相關(guān)，需通過(guò)影像學(xué)檢查明確病因。</p><p>長(zhǎng)期高血壓狀態(tài)可能誘發(fā)心腦血管并發(fā)癥，建議定期監(jiān)測(cè)血壓變化。日常需控制鈉鹽攝入，每日食鹽量不超過(guò)5克，避免腌制食品。保持規(guī)律作息有助于穩(wěn)定內(nèi)分泌水平，肥胖患者應(yīng)通過(guò)合理飲食和適度運(yùn)動(dòng)控制體重。若出現(xiàn)持續(xù)性頭痛、視力模糊等靶器官損害癥狀，須及時(shí)就醫(yī)進(jìn)行針對(duì)性治療。</p></div> <div id="wiwey260ym" class="f24 fc9 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