甲状腺功能亢进症中诱导性高钙血症的处理
Handling of induced hypercalcaemia in hyperthyroidism.
作者信息
Lim P, Jacob E, Khoo O T
出版信息
Br Med J. 1969 Dec 20;4(5685):715-7. doi: 10.1136/bmj.4.5685.715.
The mean serum calcium of 13 hyperthyroid patients was found to be significantly higher than that of controls matched for sex and age, though none of the patients' values were outside the normal range. Nevertheless, these patients responded very promptly to hypercalcaemia (induced by an intravenous calcium load), and their serum calcium returned to normal much more rapidly compared with the matched controls. There was also increased retention of intravenous calcium load, possibly owing to increased calcitonin production. Calcium infusion may be useful in treating bone diseases in which increased bone resorption exceeds bone accretion.
13名甲状腺功能亢进患者的血清钙均值显著高于年龄和性别匹配的对照组，尽管患者的所有数值均在正常范围内。然而，这些患者对高钙血症（由静脉注射钙负荷诱导）反应非常迅速，与匹配的对照组相比，他们的血清钙恢复正常的速度要快得多。静脉注射钙负荷的潴留也有所增加，这可能是由于降钙素分泌增加所致。钙输注可能有助于治疗骨吸收增加超过骨质增生的骨病。
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