Wright A D, Joplin G F, Dixon H G
Br Med J. 1969 Jan 4;1(5635):23-5. doi: 10.1136/bmj.1.5635.23.
Two patients with post-thyroidectomy hypoparathyroidism were observed throughout three pregnancies. Their normal maintenance treatment with vitamin D remained unaltered. Serum calcium levels remained normal until shortly before delivery but rose rapidly in the immediate postpartum period to peak levels of 7.8, 6.0, and 6.8 mEq/l. while still on normal or reduced maintenance treatment. This apparent increased sensitivity to vitamin D after delivery persisted for as long as three months.
对两名甲状腺切除术后甲状旁腺功能减退的患者进行了三次孕期全程观察。她们一直采用常规剂量的维生素D维持治疗。血清钙水平在分娩前不久一直保持正常，但在产后立即迅速上升，达到7.8、6.0和6.8毫当量/升的峰值水平，而此时仍在进行正常或减量的维持治疗。这种产后对维生素D的明显敏感性增加持续了长达三个月。
