Konradi M G
Probl Endokrinol (Mosk). 1978 Jul-Aug;24(4):32-6.
The author studied functional reserves of the parathyroid glands in patients with diffuse toxic goiter with thyrotoxicosis and in euthyroidism, and also at various periods after subtotal resection of the thyroid gland, in patients with autoimmune thyroiditis, and with postoperative hypothyroidism. Functional reserves of the parathyroid glands proved to decrease in 15 to 54 patients with toxic goiter and in 6 of 16 patients with hypothyroidism. Surgical intervention on the thyroid gland usually led to functional parathyroid insufficiency which compensated later. Calciemia (below 8.5 mg%) 4 hours after the beginning of the test pointed to the parathyroid gland insufficiency the intensity of which could be more accurately determined by checking calcium level 12 and 24 hours after the beginning of the test.
作者研究了弥漫性毒性甲状腺肿伴甲状腺毒症患者、甲状腺功能正常者、甲状腺次全切除术后不同时期患者、自身免疫性甲状腺炎患者及术后甲状腺功能减退患者甲状旁腺的功能储备。结果表明，15至54例毒性甲状腺肿患者及16例甲状腺功能减退患者中的6例甲状旁腺功能储备下降。对甲状腺的手术干预通常会导致功能性甲状旁腺功能不全，但后期会得到代偿。试验开始4小时后的血钙水平（低于8.5mg%）表明存在甲状旁腺功能不全，通过检测试验开始后12小时和24小时的血钙水平能更准确地确定其严重程度。
