男,48岁,近半年咳嗽、反复痰中带血,乏力,皮肤变黑,血压20.1/12.3kPa(160/92mmHg),肺部有阴影3cm×4cm,呈分叶及细毛刺,尿1...

作者: rantiku 人气: - 评论: 0
问题 男,48岁,近半年咳嗽、反复痰中带血,乏力,皮肤变黑,血压20.1/12.3kPa(160/92mmHg),肺部有阴影3cm×4cm,呈分叶及细毛刺,尿17-OHCS?194.3μmol/24h(56mg/24h),血浆ACTH(810Am)35mg/L(正常值22ng/L),血钾2.1mmol/L(2.1mEq/L),最可能的诊断是
选项 A.肾上腺皮质增生 B.肾上腺皮质癌 C.原发性醛固酮增多症 D.异位ACTH综合征 E.支气管肺癌+原发性醛固酮增多症
答案 D
解析

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