Division of Endocrinology, Gerontology and Metabolism, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, USA.
Division of Endocrinology, Department of Medicine, Columbia University, New York, USA.
Endocrinol Metab Clin North Am. 2024 Sep;53(3):437-452. doi: 10.1016/j.ecl.2024.05.006. Epub 2024 Jun 15.
Hypercalcemia during pregnancy is a risk for adverse maternal and fetal consequences. Although primary hyperparathyroidism is by far the most common etiology of hypercalcemia in pregnancy, an array of other etiologies of hypercalcemia associated with pregnancy and lactation have been described. Parathyroidectomy continues to be the preferred treatment for primary hyperparathyroidism. Medical management options are limited.
孕期高钙血症会对母婴产生不良影响。尽管原发性甲状旁腺功能亢进症是迄今为止导致妊娠期间高钙血症最常见的病因,但与妊娠和哺乳期相关的其他一系列高钙血症病因也有描述。甲状旁腺切除术仍然是治疗原发性甲状旁腺功能亢进症的首选方法。药物治疗选择有限。