Barzel U S
Albert Einstein College of Medicine, Bronx, N.Y.
Hosp Pract (Off Ed). 1992 Jul 15;27(7):165-70, 173, 176. doi: 10.1080/21548331.1992.11705459.
Most hyperparathyroidism is subclinical, with no complaints of bone pain, constipation, mental confusion, or depression, no skeletal findings on x-ray, and no history of kidney stones. Routine hyperparathyroidectomy for asymptomatic hypercalcemia, with normal bone density and normal calciuria, particularly with moderate elevations of serum calcium, is now generally rejected.
大多数甲状旁腺功能亢进是亚临床的，没有骨痛、便秘、精神错乱或抑郁的主诉，X线检查无骨骼异常发现，也没有肾结石病史。对于无症状高钙血症、骨密度正常且尿钙正常，尤其是血清钙轻度升高的患者，目前一般不主张进行常规甲状旁腺切除术。
