Although hypercalcemia may be caused by extraparathyroid disease and controlled with various medications, acute hypercalcemic crisis is a surgical emergency. All nonperative measures are directed toward diagnosis of hyperparathyroidism and preparation for operation. Parathyroidectomy is indicated even in the absence of definite evidence of a functioning parathyroid tumor in patients when nonoperative methods fail. Prompt medical therapy and timely surgical intervention will result in success in the vast majority of patients with hypercalcemic crises.
虽然高钙血症可能由甲状旁腺外疾病引起并可用各种药物控制,但急性高钙血症危象是一种外科急症。所有非手术措施都旨在诊断甲状旁腺功能亢进并为手术做准备。即使在非手术方法失败且患者没有甲状旁腺肿瘤功能的确切证据时,也应进行甲状旁腺切除术。及时的药物治疗和适时的手术干预将使绝大多数高钙血症危象患者获得成功。