Kim T S
Orthop Nurs. 1994 May-Jun;13(3):17-27; quiz 28. doi: 10.1097/00006416-199405000-00009.
Primary hyperparathyroidism is the most common cause of hypercalcemia seen in the outpatient setting (Bilezikian, 1992). Skeletal involvement is evident in most patients, even in the vast majority who show no symptoms. Bone histomorphometric studies reveal that the greatest bone diminution occurs in the radial shaft, the femoral neck is intermediate, and the spine is less affected (Parisien et al., 1990). An understanding of this condition is vital for the professional nurse so that effective nursing care can be provided to those who are at risk of developing rapid bone loss and other complications of primary hyperparathyroidism. This article reviews the medical diagnosis and nursing management of primary hyperparathyroidism.
原发性甲状旁腺功能亢进是门诊患者高钙血症最常见的病因（Bilezikian，1992年）。大多数患者存在骨骼受累情况，即使绝大多数患者没有症状。骨组织形态计量学研究显示，桡骨干的骨量减少最为明显，股骨颈次之，脊柱受影响较小（Parisien等人，1990年）。对于专业护士而言，了解这种疾病至关重要，以便为那些有发生原发性甲状旁腺功能亢进导致快速骨质流失和其他并发症风险的患者提供有效的护理。本文综述了原发性甲状旁腺功能亢进的医学诊断和护理管理。
