甲状腺切除术后36年诊断出未被识别的低钙血症。
Unrecognized hypocalcaemia diagnosed 36 years after thyroidectomy.
作者信息
Bellamy R J, Kendall-Taylor P
机构信息
Department of Endocrinology, Royal Victoria Infirmary, Newcastle upon Tyne, England.
出版信息
J R Soc Med. 1995 Dec;88(12):690-1. doi: 10.1177/014107689508801210.
Abstract
Hypoparathyroidism can present many years after thyroidectomy and symptoms may be non-specific. Hypocalcaemia may cause a variety of physical and mental symptoms and the diagnosis is easily overlooked with serious and potentially fatal consequences. Patients with vague symptoms should always be asked about previous thyroid surgery and serum calcium should be measured.
摘要
甲状旁腺功能减退可在甲状腺切除术后数年出现，症状可能不具有特异性。低钙血症可能导致多种身心症状，诊断容易被忽视，从而产生严重且可能致命的后果。对于有模糊症状的患者，应始终询问其既往甲状腺手术史，并检测血清钙水平。
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本文引用的文献
1
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JAMA. 1961 Nov 4;178:472-5. doi: 10.1001/jama.1961.03040440024005.
2
Hypoparathyroidism: an unusual cause of seizures.甲状旁腺功能减退症：癫痫发作的一种罕见病因。
Ann Emerg Med. 1983 May;12(5):314-5. doi: 10.1016/s0196-0644(83)80517-4.
3
Late-onset hypocalcemia appearing years after thyroid surgery.甲状腺手术后数年出现的迟发性低钙血症。
J Endocrinol Invest. 1989 Jun;12(6):419-20. doi: 10.1007/BF03350718.
4
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J Neurol Neurosurg Psychiatry. 1976 Jan;39(1):48-52. doi: 10.1136/jnnp.39.1.48.
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Am J Surg. 1979 Oct;138(4):555-60. doi: 10.1016/0002-9610(79)90418-5.
6
Hypocalcemia. Differential diagnosis and mechanisms.低钙血症。鉴别诊断与机制。
Arch Intern Med. 1979 Oct;139(10):1166-71. doi: 10.1001/archinte.139.10.1166.
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