Nadkarni M, Berns J S, Rudnick M R, Cohen R M
Graduate Hospital, Division of Nephrology and Hypertension, Philadelphia, Pa. 19146.
Nephron. 1992;60(1):100-3. doi: 10.1159/000186712.
We report a chronic hemodialysis patient with severe hyperparathyroidism who developed hypoglycemia with inappropriate hyperinsulinemia following parathyroidectomy. An abrupt fall in parathyroid hormone level and administration of large amounts of calcitriol may have resulted in increased insulin release and enhanced tissue sensitivity to insulin producing sustained hypoglycemia in this patient.
我们报告了一名患有严重甲状旁腺功能亢进的慢性血液透析患者，该患者在甲状旁腺切除术后出现低血糖伴不适当的高胰岛素血症。甲状旁腺激素水平的突然下降和大量骨化三醇的使用可能导致该患者胰岛素释放增加以及组织对胰岛素的敏感性增强，从而产生持续性低血糖。
