(1—2题共用题干)    男45岁,头痛5年,夜尿增多2年。查体:BP140/110mmHg。电解质:K+  3.15mmol/L,Na+  145mmol/L,Cl-  101mmol/L。24h尿钾80.80mmol/L。血醛固酮浓度(ALD)24.2ng/dl(参考值5.9~17.4ng/dl),肾活性(PRA)0.05ng/(ml·hr)[参考值0.05~0.79ng/(ml·hr)]。肾上腺CT示:左肾上腺增生,右肾上腺腺瘤。诊断怀疑原发性醛固酮增多症。 如果经过上述检查确定醛固酮为左侧肾上腺分泌过多醛固酮,首选的治疗方法是
A. 口服螺内酯
B. 口服氨苯蝶啶
C. 口服阿咪洛利
D. 手术治疗
E. 口服氢化可的松
Spring is the most beautiful season. Sweet flowers and green grass greet you everywhere. Everything is fresh. Closing your eyes, you can smell this.One (1) spring day, I observed young people having fun using the wind to fly their kites. Multicolored creations of varying (2) filled the skies like beautiful birds darting and dancing. As the strong winds gusted against the kites, a string kept them in check.Instead of blowing away (3) they arose against it to achieve great heights. They shook and pulled, but the restraining string and the tail kept them in tow, (4) upward and against the wind. As the kites struggled and trembled against the string, they (5) say, "Let me go! Let me go!" 2()