Ruggieri Fabio, Chiesa Alessandro, Schorn Kathleen, Strobel Klaus, Maggiorini Marco, Schmid Christoph
Department of Internal Medicine, Division of General Internal Medicine, University of Zurich, Zurich, Switzerland.
BMJ Case Rep. 2010 Oct 21;2010:bcr1020092416. doi: 10.1136/bcr.10.2009.2416.
A 44-year-old man with headache, sweating, subfebrile temperature and profound fatigue was found to have hypercalcaemic crisis with renal failure. Despite standard therapy, calcium levels remained high, he became anuric and developed multi-organ failure with acute respiratory distress syndrome requiring high ventilatory support, norepinephrine, dobutamine and continuous veno-venous haemodiafiltration. Ectopic calcification was found in the lungs, in the thyroid, kidneys, heart and stomach. A large parathyroid adenoma was then removed. When last seen, 11 months after surgery, the patient no longer required oxygen, and total lung capacity had returned to normal.
一名44岁男性，有头痛、出汗、低热和极度疲劳症状，被发现患有高钙血症危象并伴有肾衰竭。尽管进行了标准治疗，钙水平仍居高不下，他出现无尿，并发展为多器官功能衰竭，伴有急性呼吸窘迫综合征，需要高通气支持、去甲肾上腺素、多巴酚丁胺和持续静脉-静脉血液透析滤过。在肺部、甲状腺、肾脏、心脏和胃部发现了异位钙化。随后切除了一个大的甲状旁腺腺瘤。在术后11个月最后一次见到该患者时，他不再需要吸氧，肺总量已恢复正常。
