Gupta M M
J Assoc Physicians India. 1989 Oct;37(10):629-31.
Medical emergencies due to severe hypercalcaemia and hypocalcaemia are relatively rare in clinical practice. 89 cases of hypercalcaemia were seen during 1975-1987 and 16 presented as medical emergencies; renal colic (7) acute renal failure (3), spontaneous fractures (3), acute pancreatitis (1), cardiac arrhythmia (1) and acute hypercalcaemic crisis resulting in death (1). 81 cases of severe hypocalcaemia were seen during the same period. 22 presented initially as epileptic seizures with one ending fatally due to status epilepticus. The other emergencies were severe laryngeal stridor and inability to speak (7), papilloedema (3) and acute behavioural disorder (4). A few illustrative cases have been briefly described.
在临床实践中，由严重高钙血症和低钙血症引起的医疗急症相对较少见。1975年至1987年间共诊治89例高钙血症患者，其中16例表现为医疗急症，包括肾绞痛（7例）、急性肾衰竭（3例）、自发性骨折（3例）、急性胰腺炎（1例）、心律失常（1例）以及导致死亡的急性高钙血症危象（1例）。同期共诊治81例严重低钙血症患者，其中22例最初表现为癫痫发作，1例因癫痫持续状态死亡。其他急症包括严重喉鸣和不能发声（7例）、视乳头水肿（3例）以及急性行为障碍（4例）。本文简要描述了几例典型病例。
