原发性甲状旁腺功能亢进症致高钙危象及术后骨饥饿综合征1例

Hypercalcium crisis and postoperative hungry bone syndrome caused by primary hyperparathyroidism:a case report

回顾1例原发性甲状旁腺功能亢进症(primary hyperparathyroidism,PHPT)所致高钙血症危象患者的诊疗过程以及骨饥饿综合征的预防性治疗。患者,男,32岁,高钙血症,主要临床表现为食欲不振、恶心、多尿、烦渴、乏力及嗜睡等。甲状旁腺激素和血清钙升高,甲状腺功能正常;甲状腺彩超、颈部MRI显示右甲状腺后方占位,放射性核素检查显示右甲状旁腺区显像剂浓度异常;有病理性骨折病史。临床上诊断为PHPT继发高钙血症危象。

To review the diagnosis and treatment of a case of hypercalcium crisis caused by primary hyperparathyroidism(PHPT)and prophylactic treatment of hungry bone syndrome.In a 32-year-old male with hypercalcemia,the main manifestations were loss of appetite,nausea,polyuria,polydipsia,fatigue,lethargy,etc.parathyroid hormone,serum calcium increased,thyroid function was normal,thyroid color ultrasound and MRI showed space-occupying behind the right thyroid,radionuclide examination showed abnormal imaging agent concentration in the right parathyroid area,there was a history of pathological fracture.Clinically diagnosed as hypercalcemia crisis secondary to PHPT.