Blair J W, Carachi R
Royal Hospital for Sick Children, Yorkhill, Glasgow.
Eur J Pediatr Surg. 1991 Apr;1(2):110-4. doi: 10.1055/s-2008-1042470.
Primary Hyperparathyroidism in the neonate is exceptionally rare and is almost invariably fatal unless a prompt diagnosis is made and urgent surgical intervention instituted. The first case was reported in 1947 by Prat et al (30) and since then 35 cases have been published. The true number is probably greater due to the diagnosis being missed both clinically and at autopsy and it has been suggested as a possible contributor to a small number of cases of the Sudden Infant Death Syndrome (17). The authors report on a case presenting in a female neonate, review the world literature and discuss the clinical manifestations, investigators findings and the management options available.
新生儿原发性甲状旁腺功能亢进极为罕见,几乎总是致命的,除非能迅速做出诊断并立即进行手术干预。1947年普拉特等人首次报告了该病例(30),自那时以来已发表了35例病例。由于临床和尸检时均漏诊,实际病例数可能更多,并且有人认为它可能是导致少数婴儿猝死综合征病例的一个因素(17)。作者报告了一名女性新生儿的病例,回顾了世界文献,并讨论了临床表现、研究结果以及可用的治疗方案。