对21例原发性醛固酮增多症分析,均有不同程度低血钾,主要表现为肌无力和周期性麻痹,19例最早表现有高血压。CT检测,20例为腺瘤,1例为增生。腺瘤手术切除可治愈,强调应早诊断和治疗。 21 cases of primary aldosteronism analysis, there are varying degrees of hypokalemia, mainly manifested as muscle weakness and periodic paralysis, 19 cases showed the first high blood pressure. CT examination, 20 cases of adenoma, 1 case of hyperplasia. Adenoma surgery can be cured, emphasizing the early diagnosis and treatment.