患者男,23岁,因“皮肤紫纹、血压升高8个月,向心性肥胖3个月”来诊。查体:BP 145/95 mmHg;典型皮质醇增多症体征。实验室检查:空腹血糖7....

作者: rantiku 人气: - 评论: 0
问题  患者男,23岁,因“皮肤紫纹、血压升高8个月,向心性肥胖3个月”来诊。查体:BP 145/95 mmHg;典型皮质醇增多症体征。实验室检查:空腹血糖7.0 mmol/L,血钾3.5 mmol/L,钠142 mmol/L;过夜小剂量地塞米松抑制试验:血F(8 AM):服药前28.79 μg/dl,服药后23.01 μg/dl;血ACTH 84.6~85.6 pg/ml。 以下影像学检查中,应首选
选项 A、胸部CT B、奥曲肽显像 C、蝶鞍MRI D、胸部X线片 E、腹部MRI F、蝶鞍CT G、腹部CT
答案 ACD
解析 ACD

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