Miach P J, Dawborn J K, Douglas M C, Jerums G, Xipell J M
Clin Nephrol. 1975 Jul;4(1):32-6.
A case is reported of a twenty-one year old man who developed severe hypercalcemia late in the diuretic phase of acute reversible renal failure secondary to severe trauma. Hypercalcemia persisted for approximately five months. Serum immunoreactive parathyroid hormone levels were undetectable and sub-total parathyroidectomy had no appreciable effect on the serum calcium. The most likely source of this patient's hypercalcemia was resorption of calcium from metastatic deposits in soft tissue and possibly from bone. Failure to incorporate calcium into bone during the period of immobilization may explain the prolonged hypercalcemia.
报告了一例21岁男性病例,该患者在因严重创伤导致的急性可逆性肾衰竭的利尿期后期出现严重高钙血症。高钙血症持续了约五个月。血清免疫反应性甲状旁腺激素水平检测不到,甲状旁腺次全切除术对血清钙没有明显影响。该患者高钙血症最可能的来源是软组织转移性沉积物中的钙吸收,可能还有骨钙吸收。在固定期间未能将钙纳入骨骼可能解释了高钙血症的持续时间延长。