甲状腺毒症中高钙血症的控制
Control of hypercalcaemia in thyrotoxicosis.
作者信息
Jones M K, Papapoulos S E
出版信息
Postgrad Med J. 1979 Dec;55(654):891-3. doi: 10.1136/pgmj.55.650.891.
Abstract
Two thyrotoxic patients with significant hypercalcaemia are described. The hypercalcaemia failed to suppress with hydrocortisone, propranolol and calcitonin but serum calcium fell rapidly to normal with carbimazole treatment. Both patients were subsequently treated surgically and at operation no evidence of parathyroid disease was found. Thyroid disease must be controlled before co-existing parathyroid disease is diagnosed in hypercalcaemic thyrotoxic patients.
摘要
本文描述了两名患有明显高钙血症的甲状腺毒症患者。高钙血症在接受氢化可的松、普萘洛尔和降钙素治疗后未能得到抑制，但在接受卡比马唑治疗后血清钙迅速降至正常。两名患者随后均接受了手术治疗，术中未发现甲状旁腺疾病的证据。在诊断高钙血症甲状腺毒症患者并存的甲状旁腺疾病之前，必须先控制甲状腺疾病。
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