Broughan T A, Jaroch M T, Esselstyn C B
Arch Surg. 1986 Jul;121(7):841-2. doi: 10.1001/archsurg.1986.01400070111023.
The records of 100 patients operated on for primary hyperparathyroidism, from Jan 21, 1982 to June 11, 1984, were reviewed. In each patient, hypercalcemia had been documented on at least two separate occasions. A history, physical examination, chest roentgenogram, complete blood cell count with differential, 18-factor automated blood chemistry analysis, and urinalysis were used to screen for other causes of hypercalcemia. Of the 100 patients who had surgery, 88 had a preoperative parathyroid hormone level determination. Preoperative parathyroid hormone levels were normal in 41% of patients with parathyroid disease demonstrated at surgery. Parathyroid hormone assays produce variable results even from the best laboratories. A serum calcium determination remains the best test for diagnosing primary hyperparathyroidism.
回顾了1982年1月21日至1984年6月11日期间因原发性甲状旁腺功能亢进接受手术的100例患者的记录。每位患者至少有两次不同时间记录到高钙血症。通过病史、体格检查、胸部X线检查、全血细胞计数及分类、18项自动血液化学分析和尿液分析来筛查高钙血症的其他病因。在接受手术的100例患者中，88例术前测定了甲状旁腺激素水平。手术证实患有甲状旁腺疾病的患者中，41%术前甲状旁腺激素水平正常。即使是最好的实验室，甲状旁腺激素检测结果也存在差异。血清钙测定仍然是诊断原发性甲状旁腺功能亢进的最佳检查。
