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急性高血钙危象6例临床分析 被引量:1

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摘要 【目的】探讨原发性甲状旁腺功能亢进症(PHPT)急性高血钙危象早期手术治疗的疗效和意义。【方法】6例患者均在内科控制生命体征平稳后行甲状旁腺腺瘤切除术。【结果】术后6例患者血清游离钙和血甲状旁腺激素(PTH)均在术后24h内降至正常水平。【结论】对于诊断明确的原发性甲状旁腺功能亢进并高血钙危象的患者,应尽快完善术前准备并尽早手术,术后能快速降低血清钙离子水平,降低高钙血症的危险。
出处 《医学临床研究》 CAS 2008年第10期1861-1863,共3页 Journal of Clinical Research
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参考文献12

  • 1Flint RS, Harman CK, Carter J, et al. Primary hyperparathyroidism:referral patterns and outcome of surgery[J]. ANZ J Surg ,2003,72(3):200-220.
  • 2Harjit K, Zanariah H. Hypercalcaemic crisis: immediate parathyroidectomy and intraoperative intravenous calcium infusion improves outeome[J]. Asian J Surg , 2007,30 (3) : 173-7.
  • 3闫双通,田慧.原发性甲状旁腺机能亢进症与多代谢异常[J].医学临床研究,2006,23(2):266-269. 被引量:6
  • 4Tahara H. Hypercalcemic crisis[J]. Nippon Rinsho ,2006,28 (2):169-172.
  • 5Pfeilschifter J. Hypercalcemic crisis[J]. Internist (Berl) , 2003,44(10) :1231-1236.
  • 6Cherry TA, Kauffman RP, Myies TD. Primary hyperparathyroidism, hypercalcemic crisis and subsequent seizures occurring during pregnancy: a case report[J]. J Matern Fetal Neonatal Med , 2002,12(5) :349-352.
  • 7Fang WL, Tseng LM, Chen JY, et al . The management of high-risk patients with primary hyperparathyroidism-minimally invasive parathyroideetomy vs. medical treatment[J]. Clin Endocrinol (Oxy) ,2008,68(4) :520-528.
  • 8Carroll MF, Schade DS. A practical approach to hypercalcemia[J]. Am Faro Physician , 2003,67(9) : 1959-1966.
  • 9Ziegler R. Hypercalcemia[J]. Ther Umsch ,2000,57(6):391- 397.
  • 10Wahl W, Junginger T, Beyer J. Diagnosis and therapy of hypercalcemic erisis[J]. Med Klin (Munich) , 1989,84 (11) : 519-525.

二级参考文献19

  • 1Nilsson IL,Rastad J,Johansson K,et al.Endothelial vasodilatatory function and blood pressure response to local and systemic hypercalcemia[J].Surgery,2001,130:986-990.
  • 2Gennari C,Nami R,Gonnelli S.Hypertension and primary hyperparathyroidism:the role of adrenergic and renin-angiotensin-aldosterone systems[J].Miner Electrolyte Metab,1995,21:77-81.
  • 3Saleh FN,Schirmer H,Sundsfjord J,et al.Parathyroid hormone and left ventricular hypertrophy[J].Eur Heart J,2003,24(22):2054-2060.
  • 4Lundgren E,Lind L,Palmér M,et al.Increased cardiovascular mortality and normalized serum calcium in patients with mild hypercalcemia followed up for 25 years[J].Surgery,2001,130:978-985.
  • 5Hedbck G,Odén A.Increased risk of death from primary hyperparathyroidism-an update[J].Eur J Clin Invest,1998,28:271-276.
  • 6Ogard CG,Engholm G,Almdal TP,et al.Increased mortality in patients hospitalized with primary hyperparathyroidism during the period 1977~1993 in Denmark[J].World J Surg,2004,28(1):108-111.
  • 7Wermers RA,Khosla S,Atkinson EJ,et al.Survival after the diagnosis of hyperparathyroidism:a population-based study[J].Am J Med,1998,104:115-122.
  • 8Leifsson BG,Ahrén B.Serum calcium and survival in a large health screening program[J].J Clin Endocrinol and Metab,1996,81:2149-2153.
  • 9Vestergaard H,Ostergaard-K L.Normocalcemia and persistent elevated serum concentrations of 1-84 parathyroid hormone after operation for sporadic parathyroid adenoma:evidence of increased morbidity from cardiovascular disease[J].World J Surg,2002,26(6):657-660.
  • 10Perkovic V,Hewitson TD,Kelynack KJ,et al.Parathyroid hormone has a prosclerotic effect on vascular smooth muscle cells[J].Kidney Blood Press Res,2003,26(1):27-33.

共引文献8

同被引文献11

  • 1颜奇志,黄坚.PHPT高血钙危象7例手术治疗体会分析[J].湖南师范大学学报(医学版),2007,4(2):54-55. 被引量:4
  • 2游振辉,黄东航,顾恩郁,程长铭.原发性甲状旁腺功能亢进症的术前定位诊断[J].中华内分泌代谢杂志,2004,20(4):331-332. 被引量:19
  • 3廖二元.高钙血症危象[J].国外医学(内分泌学分册),2005,25(4):286-288. 被引量:15
  • 4胡明华,盛勇,李仁志,朱家胜,芮景.甲状旁腺癌致甲状旁腺危象1例报告[J].中国实用外科杂志,2007,27(1):95-95. 被引量:2
  • 5Kebebew E. Clark OH. Parathyroid adenoma, hyperplasia, and carcinoma: localization,technical delails of primary neck exploralion, and treatment of hyperealeemie crisis [J]. Surg Oncol Clin North Am.1998,7(4):721-748.
  • 6Edelson GW, Kleerekoper M. Hypcrcalcemic crisis [J]. Med Clin North Am, 1995.79(1):79-92.
  • 7Schachler PP, lssa N, Shimonov M, et al. Early postinjection MIBI-SPECT as the only preoperative localizing study for minimally invasive parathyroidectomy [J]. Arch Surg, 2004,139 (4):433-437.
  • 8Ruda JM. Hollenbeak CS, Stack BC Jr. A syslematic review of lhe diagnosis and treatment of primary hyperparathyroidism from 1995 to 2003 [J]. Otolaryngol Head Neck Surg,2005,132 (3):359-372.
  • 9Carnevale V. Romagnoli E, Pipino M,el al. Primary hyperparathymidism [ J ]. Clin Ter,2005,156(5):211-226.
  • 10Gasparri G, Camandona M, Mullineris B, et al.Aeute hyperparathyroidism: our experience with 36 eases [J]. Ann Ital Chit, 2004,75(3):321-324.

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