甲状腺毒症中的症状性高钙血症
Symptomatic hypercalcaemia in thyrotoxicosis.
作者信息
Twycross R G, Marks V
出版信息
Br Med J. 1970 Jun 20;2(5711):701-3. doi: 10.1136/bmj.2.5711.701.
Abstract
In three patients with thyrotoxicosis and with symptomatic hypercalcaemia antithyroid therapy restored the plasma calcium concentration to normal, though initially in one case intravenous and oral neutral phosphate solution were required to curtail intractable vomiting.Nine cases have been recorded in which the plasma calcium concentration returned to normal after antithyroid treatment was started; all but one became normocalcaemic within eight weeks. It is suggested that in hypercalcaemic thyrotoxicosis a second pathological condition should be considered only if the plasma calcium concentration fails to return to normal within eight weeks.
摘要
在3例甲状腺毒症伴症状性高钙血症患者中，抗甲状腺治疗使血浆钙浓度恢复正常，尽管最初有1例患者需要静脉和口服中性磷酸盐溶液来控制难以缓解的呕吐。已记录9例在开始抗甲状腺治疗后血浆钙浓度恢复正常的病例；除1例之外，所有患者均在8周内血钙恢复正常。建议在高钙血症性甲状腺毒症中，仅当血浆钙浓度在8周内未恢复正常时，才应考虑第二种病理状况。
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