Husová L, Senkyrík M, Lata J, Hrbková V, Husa P, Dolina J, Podrábská M, Ourednícek P
Interní gastroenterologická klinika FN Brno, pracovistĕ Bohunice.
Vnitr Lek. 2000 Oct;46(10):724-7.
The authors present the case of a 78-year-old female patient who was admitted on account of acute pancreatitis complicated by acute myocardial infarction. The authors detected in the patient a serum repeatedly high calcium levels and high levels of intact parathormone. Scintigraphic examination revealed marked foci in the middle of the neck at the level of the inferior pole of the thyroid gland. These examinations confirmed the diagnosis of primary hyperparathyroidism. In view of the patient a serious condition, conservative treatment of hypercalcaemia and acute pancreatitis and myocardial infarction was started. The patient was released into domiciliary care after 40 days in hospital in a state of cardiopulmonary compensation, with cystic transformation of the pancreas and without signs of acute pancreatitis.
作者报告了一例78岁女性患者，该患者因急性胰腺炎并发急性心肌梗死入院。作者检测到该患者血清钙水平反复升高且全段甲状旁腺激素水平升高。闪烁扫描检查显示甲状腺下极水平的颈部中部有明显病灶。这些检查证实了原发性甲状旁腺功能亢进的诊断。鉴于患者病情严重，开始对高钙血症、急性胰腺炎和心肌梗死进行保守治疗。患者住院40天后出院接受居家护理，此时处于心肺代偿状态，胰腺呈囊性变，且无急性胰腺炎迹象。
