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[原发性甲状旁腺功能亢进症所致高钙血症危象及术后饥饿骨综合征:一例报告]

[Hypercalcium crisis and postoperative hungry bone syndrome caused by primary hyperparathyroidism: a case report].

作者信息

Zhang Mengdi, Zeng Yifei, Wang Lei, Sun Yian, Li Jingwei

机构信息

Shandong University of Traditional Chinese Medicine,Ji'nan,250000,China.

Department of Breast and Thyroid Surgery,Affiliated Hospital of Shandong University of Traditional Chinese Medicine.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 May;37(5):389-392. doi: 10.13201/j.issn.2096-7993.2023.05.014.

Abstract

To review the diagnosis and treatment of a case of hypercalcium crisis caused by primary hyperparathyroidism(PHPT) and prophylactic treatment of hungry bone syndrome. In a 32-year-old male with hypercalcemia, the main manifestations were loss of appetite, nausea, polyuria, polydipsia, fatigue, lethargy, etc. parathyroid hormone, serum calcium increased, thyroid function was normal, thyroid color ultrasound and MRI showed space-occupying behind the right thyroid, radionuclide examination showed abnormal imaging agent concentration in the right parathyroid area, there was a history of pathological fracture. Clinically diagnosed as hypercalcemia crisis secondary to PHPT.

摘要

回顾1例原发性甲状旁腺功能亢进症(PHPT)所致高钙血症危象的诊断、治疗及饥饿骨综合征的预防性治疗。1例32岁男性患者,有高钙血症,主要表现为食欲减退、恶心、多尿、烦渴、乏力、嗜睡等。甲状旁腺激素、血清钙升高,甲状腺功能正常,甲状腺彩色超声及MRI显示右甲状腺后方占位,放射性核素检查显示右甲状旁腺区域显像剂浓聚异常,有病理骨折史。临床诊断为PHPT继发高钙血症危象。

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本文引用的文献

1
[Reoperation treatment of persistent postoperative secondary hyperparathyroidism].[持续性术后继发性甲状旁腺功能亢进的再次手术治疗]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Nov;36(11):822-826;834. doi: 10.13201/j.issn.2096-7993.2022.11.003.
7
Hyperparathyroidism.甲状旁腺功能亢进症。
Lancet. 2018 Jan 13;391(10116):168-178. doi: 10.1016/S0140-6736(17)31430-7. Epub 2017 Sep 17.
10
Hungry bone syndrome.饥饿骨综合征
Curr Opin Nephrol Hypertens. 2017 Jul;26(4):250-255. doi: 10.1097/MNH.0000000000000327.

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