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甲状旁腺功能亢进伴发肺水肿:高钙血症会引发肺水肿吗?

A hyperparathyroid case with pulmonary edema: can hypercalcemia trigger pulmonary edema?

机构信息

Kayseri Training and Research Hospital, Endocrinology and Metabolism, Kayseri, Turkey.

出版信息

Am J Emerg Med. 2012 Mar;30(3):512.e1-3. doi: 10.1016/j.ajem.2010.12.033. Epub 2011 Feb 26.

Abstract

Most cases of pulmonary edema presenting with hypercalcemia are associated with malignant hypercalcemia and related with metastatic calcification. Most patients have predisposing factors such as hematological and solid organ malignancies and chronic renal failure. Pulmonary edema, induced by moderate hypercalcemia, which is associated with primary hyperparathyroidism, has not been reported previously. A 72-year-old female patient was admitted to the emergency service with pulmonary edema and moderate hypercalcemia because of primary hyperparathyroidism. In this presented case, we have discussed the 72-year-old female patient admitted with acute pulmonary edema who had primary hyperparathyroidism.

摘要

大多数表现为高钙血症的肺水肿病例与恶性高钙血症有关,并与转移性钙化有关。大多数患者存在易患因素,如血液系统和实体器官恶性肿瘤以及慢性肾衰竭。由原发性甲状旁腺功能亢进引起的中度高钙血症引起的肺水肿以前尚未报道过。一名 72 岁女性患者因原发性甲状旁腺功能亢进而出现肺水肿和中度高钙血症,被收入急诊服务。在本病例中,我们讨论了一位 72 岁女性患者,因急性肺水肿和原发性甲状旁腺功能亢进而入院。

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