Mason G R
Am Surg. 1976 Jan;42(1):23-6.
In this series of 56 patients diagnosed as having hyperparathyroidism, 37 per cent were found to have multiple gland involvement. The data seem to indicate that routine screening has increased the number of patients operated upon each year. Hypocalcemia in the postoperative period may be manifest by a variety of symptoms, but in general does not seem to affect the postoperative course. The postoperative low point of serum calcium seems directly temporally related to the highest preoperative levels-the higher preoperative levels take longer to reach lowest postoperative levels. Several techniques of management are described.
在这组56例被诊断为甲状旁腺功能亢进的患者中，发现37%存在多腺体受累。数据似乎表明，常规筛查增加了每年接受手术的患者数量。术后低钙血症可能表现为多种症状，但总体上似乎不影响术后病程。术后血清钙的最低点似乎在时间上与术前最高水平直接相关——术前水平越高，达到术后最低水平所需的时间越长。文中描述了几种处理方法。
