Owens Beverly B
Veterans Administration Health Care System, Baltimore, Maryland 21201, USA.
J Infus Nurs. 2009 Mar-Apr;32(2):87-92. doi: 10.1097/NAN.0b013e318198d483.
Primary hyperparathyroidism is the inappropriate secretion of parathyroid hormone and is the most common cause of hypercalcemia. Most patients with primary hyperparathyroidism are asymptomatic, and the disease is more common in postmenopausal women than in older men. Primary hyperparathyroidism can be treated with medication and long-term monitoring; however, surgical removal of the affected parathyroid gland is the definitive treatment. Rarely occurring, parathyroid crisis must be treated promptly to prevent deleterious effects to the patient. The patient experiencing parathyroid crisis benefits from the infusion nurse's knowledge of drug and fluid therapies and expertise in peripheral access.
原发性甲状旁腺功能亢进是甲状旁腺激素的不适当分泌，是高钙血症最常见的原因。大多数原发性甲状旁腺功能亢进患者无症状，该疾病在绝经后女性中比老年男性中更常见。原发性甲状旁腺功能亢进可通过药物治疗和长期监测；然而，手术切除受影响的甲状旁腺是确定性治疗方法。甲状旁腺危象很少发生，必须及时治疗以防止对患者产生有害影响。经历甲状旁腺危象的患者受益于输液护士对药物和液体疗法的了解以及在外周通路方面的专业知识。
