Mowat E, Gunn A, Paterson C R
Br J Surg. 1981 Jul;68(7):455-8. doi: 10.1002/bjs.1800680704.
The high incidence of peptic ulcers and abdominal pain from other causes in patients with primary hyperparathyroidism has been recognized for many years. This paper reports 20 patients with hyperparathyroidism: 12 with peptic ulcers and 8 with abdominal pain from other causes. Only in a minority of these was the diagnosis of hypercalcaemia made as a result of a deliberately sought assay; in most the plasma calcium had been measured as part of a 'screening' procedure with a multichannel analyser. In almost all of the patients who had parathyroid surgery the abdominal symptoms were completely relieved. We urge that plasma calcium assays should be made in all patients with dyspepsia particularly those with recurrent symptoms.
原发性甲状旁腺功能亢进患者中消化性溃疡及其他原因引起的腹痛的高发病率多年来已为人所知。本文报告了20例甲状旁腺功能亢进患者：12例患有消化性溃疡，8例因其他原因腹痛。这些患者中只有少数是通过特意寻求的检测才诊断出高钙血症；大多数患者的血钙是在使用多通道分析仪进行“筛查”程序时检测的。几乎所有接受甲状旁腺手术的患者腹部症状都完全缓解。我们敦促对所有消化不良患者，尤其是那些有复发性症状的患者进行血钙检测。
