After the first discription of Conn(1995) about primary hyperaldosteronism, this disease has been interested due to one cause of hypertension corrected by operation. This study was based on 4 cases of primary hyperaldosteronism who had been
admitted and
treated at department of surgery, Maryknoll Hospital during the past 9 years from January 1982 to December 1990.
@ES The results were as follows:
@EN 1) The patients were all women with a mean age of 41 years.
2) The mean blood pressure of preoperative state was 240-140/130-100 mmHg(S.B.P)/(D.B.P) and the postoperative mean blood pressure was 170-11/100-70 mmHg(S.B.P)/(D.B.P).
3) The chief complaints were muscle weakness, polydipsia, polyura, nocturia & fatigue.
4) We studies abdominal CT scan, ultrasonography, plasma aldosterone & renin for accurate Dx & localization of adrenal lesion.
5) For electrolyte correction, the patients was received low salt diet, KCI 600 mg/day & spironolactone 50 mg qid/day for 5-10 days.
6) All patients were done by transabdominal approach, mean duration of operation was 160 min, the mean external blood loss was 200cc, The mean hospital stay was 13 days after operation.
7) The postoperative complication or mortality was none.
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