探讨原发性醛固酮增多症术后急性脑梗死的发生风险及危险因素。

回顾性分析首都医科大学附属北京安贞医院2009年1月至2016年6月接受腹腔镜肾上腺瘤切除术的原发性醛固酮增多症患者151例，收集病例资料，判定患者术后恢复情况。

151例原发性醛固酮增多症患者，其中男性68例，女性83例，年龄25～77岁，平均(52 ± 12)岁；其中合并高血压149例、冠心病26例、糖尿病34例，有既往脑梗死病史11例；其中3例发生术后急性脑梗死，发生时间为术后1～3个月，患者均有高血压及既往脑梗死病史；其中2例合并糖尿病病史，患者经内科积极治疗后康复。

原发性醛固酮增多症患者术后由于血流动力学的变化，有发生急性脑梗死的风险，但发生率较低，对于术后有急性脑梗死风险的患者应加强术后管理。

To investigate the incidence and risk of acute Cerebral infarction after laparoscopic adrenalectomy of the patient with primary aldosteronism.

A retrospective analysis was performed on the patients with primary aldosteronism underwent laparoscopic adrenalectomy in our hospital during Jan.2009 to Jun.2016.

The clinical data of 151 patients suffered with primary aldosteronism underwent laparoscopic adrenalectomy in our department were reviewed, aging from 25- 77 years and (52 ± 12)years in average. All of the 151 cases of patients, 149 cases of patients combined with hypertension, 26 cases of patients combined with coronary disease, 34 cases of patients combined with diabetes and 11 cases of patients suffered from cerebral infarction at previous time. There are three patients suffered from acute cerebral infarction after laparoscopic adrenalectomy at 1- 3 months. All of the three patients combined with hypertension and cerebral infarction history.

The patients have a probability to suffer from acute cerebral infarction after laparoscopic adrenalectomy due to the fluctuation of blood pressure, but the risk is relatively low. The patients with the high risk of cerebral infarction should enhance the postoperative management.