Guay F G, Mercier G, Plamondon C
Can Med Assoc J. 1965 Nov 6;93(19):1033-6.
Idiopathic hypoparathyroidism was diagnosed in a 55-year-old patient following rather unusual circumstances: he informed the emergency ward physician attending him for congestive cardiac insufficiency consequent to coronary cardiopathy that on the two preceding occasions when such insufficiency had been relieved by the injection of a diuretic, a tetanic seizure had ensued which was corrected by intravenous administration of calcium. Treatment of the cardiac insufficiency was nonetheless instituted with the mercurial diuretic: tetany appeared a few hours later, subsiding after intravenous injection of calcium. The various possible ways in which a tetanic seizure may be triggered by a mercurial diuretic are discussed.
一名55岁的患者在相当特殊的情况下被诊断为特发性甲状旁腺功能减退：他告知因冠心病导致充血性心力衰竭而照料他的急诊病房医生，在前两次因注射利尿剂缓解这种心力衰竭时，随后出现了手足搐搦发作，通过静脉注射钙剂得以纠正。尽管如此，仍用汞利尿剂治疗心力衰竭：数小时后出现手足搐搦，静脉注射钙剂后缓解。本文讨论了汞利尿剂引发手足搐搦发作的各种可能方式。
