Nanson E M, Frengley P A, MacCormick D E, Osborne D R, Evans M C
N Z Med J. 1979 Feb 28;89(630):118-23.
Forty-two patients with primary hyperparathyroidism were seen in Auckland Hospital between 1971-1976. These patients were reviewed as to age, sex, mode of presentation, pathology and location of lesions. All were treated surgically. There were two deaths due to severe hypercalcaemia. The value of parathyroid hormone assay and neck vein catheterisation is assessed. The practical aspects of neck exploration for hyperparathyroidism are outlined. The two problems of the treatment of chemical hyperparathyroidism and the recognition and treatment of parathyroid hyperplasia are discussed.
1971年至1976年间,奥克兰医院共收治了42例原发性甲状旁腺功能亢进患者。对这些患者的年龄、性别、临床表现方式、病理及病变部位进行了复查。所有患者均接受了手术治疗。有2例患者因严重高钙血症死亡。评估了甲状旁腺激素测定及颈静脉插管的价值。概述了甲状旁腺功能亢进颈部探查的实际操作要点。讨论了化学性甲状旁腺功能亢进治疗以及甲状旁腺增生的识别与治疗这两个问题。