巨幼细胞贫血合并原发性甲状旁腺功能亢进症(甲状旁腺腺瘤)一例分析并文献复习

Megaloblastic Anemia Combined with Primary Hyperparathyroidism( Parathyroid Adenoma) : a Case Report and Literature Review

贫血、血小板计数减少是血液内科常见的症状,可由多种疾病引起。当贫血、血小板计数减少同时合并高钙血症时,很容易让血液内科医生想到多发性骨髓瘤。本文报道1例以重度贫血、血小板计数减少合并高钙血症为表现的巨幼细胞贫血合并原发性甲状旁腺功能亢进症(甲状旁腺腺瘤)患者的诊断与治疗过程,并文献复习,以期提高临床医生对贫血、血小板计数减少合并高钙血症的认识,拓宽诊断思路,避免漏诊、误诊。

Anemia and thrombocytopenia,the common symptoms in department of hemopathology,can be caused by a variety of diseases. When anemia,thrombocytopenia combining with hypercalcemia,it is easy for physicians to make the diagnosis of multiple myeloma. The patient whose initial manifestation was severe anemia and thrombocytopenia combined with hypercalcemia was included. Then the paper reports the diagnosis and treatment process of the megaloblastic anemia patient combined with primary hyperparathyroidism （parathyroid adenoma）and makes a literature review. The paper aims to improve the understanding of clinicians in anemia,thrombocytopenia combined with hypercalcemia,broaden the diagnostic way of thinking and avoid missed diagnosis and misdiagnosis.