甲状旁腺危象临床诊治.docx

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1、·308·彜薬篶鮆㵵証婥陞䮎䀍㽮䖂䮒㴍覰婥緺䔔䨥鏧㽼䠚倛緾䠚䠚駞䁷䬥䡃圥憇徺圥憉侂桪冔敓欼壂曥槞婥愼蝖䪉㵵䠚魙圥萚䅼䖂䌏袞圥萢䅼䍵䨥窂圥䆃㵹婥鴭䬥䒈䪉䀍䅸䌏䒇㽮䮋䲇䒌䔔䀍㽮䖂䮒㴍䅰䀍䖂䄎鸏鬶㹲壂䄎䅽忊殕壂忊涃滝㴍鉆䮓㵹緥䪈䆁耉籄駥䲕婥鴘䄎窼䆁䕷㵻緾䠚䡿䌏䄎䮋鮗䄎䮓緾䦎䖇䬥䨥䮓緥䪈䆁㵻䀍䄎窼䆁䕷㵻緥䪈䆁鮍㽶䆃覰婥緥䪈䆁圥忊涋圥殗侂挙冔曪欼壂曫擭婥挙蹳䄎阬圥詖䜖魥圥䔔䌏簔圥䆃㵹婥鴧䅽䂁䖂䄎䖂㽶䁳䪈䄎㵻䀍䅰䅽䮋䲇䒌䔔䀍㽮䪈䆁䖂䄎麡䖈䅳鮖㶁䆂覰婥緥䪈䆁圥憇巣圥徺洠侂洠冔忇掁壂忇敆婥擭萪䙿䦐䬥㔭鏐㵿㴍鲪裪䬥㔭䆃㵹婥鮗䔔㽮䠚䅰䅽䮋䨥㽮䮋䲇䒌䔔䀍㽮䖂䮒㴍滝䖁䲕㵻

2、㽲䮋㵻䖂䖈䕵䠚䅽㹹䮈䦐㾁䖃䨥覰婥ォ䀍覰鮗圥忊殔圥欼侂挙冔掋愼壂敄嶛婥暤圥婥徺覰婥圥憇巣圥忂侂彜冔樬壂殎婥桪蜸䦊䢆觿遬䬥㶁䄎讬籈㴍䆈魱圥䆃㵹婥萅䦊䢃㵹䲇䒌䔔䀍㽮壂㽶䪔䥾䖂㴍㽵䖀䀍覰婥覰陞䅳䔔㶁緳䖀䀍蜽㵹圥憇巙圥掆侂挙冔捹擭壂捹槞婥槞鮆㵻䄎膤緺䔔䪎㽮䠚䆆徾愼滝䲇䒌䔔䀍㽮䖂䮒㴍覰婥覰緺䔔䨥舗䁽㼍䪔䠚遳㵯圥憇巘圥殗侂愼冔敒暤壂敓挙婥欼萒㵻䁳駞䪛䔔䆁蕳圥豽㵻㴍䊂䑴膡詜䪘䅽讬䆃㵹婥陞壂䕸㽮䖂䮒㴍圥㶁䲏㽮䠚䲇䒌䔔䀍㵱䅽䬥䥾圥䮗䲇䒌䥾壂覰婥緥䪈䆁圥憇巣圥徻嶛侂愼冔憏暤壂憓擭婥洠ェ䢅䔔䪘簠圥蹳詀婥鉜䩒䊄䨥㾁䔔䮓㵹䲇䒌䔔䀍㽮䖂䮒㴍滝㴍䆆䮋䄎䢃䆁㶁䄎㵻䀍䲕䮋㴍㽮䶧䔔䪌䆇䅽

3、䄎䆁覰婥蜽㵱鉌㽸陞䬥䡆憇巪圥挙侂愼冔忀嶛壂忀洠婥徺鴘䮒䲙䮓魝圥隂䕷䑴穼婥鴘䄎䥾䪆䌏䅼䅽䮋䲇䒌䔔䀍㽮䖂䮒㴍覰婥縄鏪䖂鏮䮑㵿䌏䮑蜽㵱鉌㽸鮗圥憇巜圥徾侂愼儥滝涀壂涆婥徻鮏䖂䄎䢆䔔綊籔䪆䁷䬥穳圥籈䔔闑䆃㵹婥縄䪊䮚㵱䔔䪌䮋䲇䒌䔔䀍㽮䖂䮒㴍㵳䆁䉸䪊䪊䅳䠚䄎㶀䲏䬥䨥㾆䮑䬥䎉覰婥覰舗䁽㼍䪔䠚裞圥憇巗圥憌侂擭儥滝憏暤壂憏槞婥徾蝍䢇䆂臈圥邎䮓翤圥豷䑴䤚窌婥陞䮎䀍㽮䖂䮒㴍滝㴍㽼䠚䡿㼍䄎䆆覰婥窽䨥鮗圥忊梺圥忂洠侂擭儥滝梲彜壂梴嶛婥徿豷㹲㸍䆆膤陞䮎䀍㽮䖂䮒㴍覰婥縄鴧䅰鏪䮓鏧壂㽼䠚圥憇巘圥愼侂擭儥滝捾槞壂捿擭婥忀魿䑴䨥穒緥䠚䅼㵻篹陞䮎䀍㽮䖂䮒㴍婥稑䮋樠㽮覰婥緥䪈䆁圥忊樥圥捹侂挙

4、儥滝梬嶛壂梬暤婥忁萒㵻䁳駞䪛䔔䆁蕳圥豽㵻㴍䊂䑴膡鴐㽵㴍羳䆃㵹婥耑䉸䨥壂䖂䌏㴍䦐䡿㾂䡻䲎䅽䬥䲋䉾㹲䪎䍾㵻䀍䥾䢃䍾㵻䲇䒌壂䕸䦐覰婥緥䪈䆁圥憇巪圥徻暤侂愼儥滝捽擭壂捾擭婥忂裄㽼㹼䪊迯躕䥾㽵䔔莣萅㴍蕋麣妔䭒䁯䮓䲇䒌䔔䀍㽮䖂䮒㴍滝㵻㵹䖇䮋㵻䆇䲋䅽㼍䄎䮋忊㽮覰婥覰鮗鏧壂㽼䠚圥憇巜圥殜侂擭儥滝憉挙壂憉欼婥忇豷㹲㸍䆆膡竂䕷䔔綊耹䐓韲圥䆃㵹婥躃㽮䠚䖎㶁䖃䨥㵻䀍䮕䄎壂䬥䨥䢎䉾䲋䖇䪙㵻䀍㾂䄎䪙䲇䒌䔔䀍㽮䖂䮒㴍覰婥竂㽵鮗圥憇巘圥徿桪侂欼儥滝殙欼壂殜暤婥忈耑䪓䄎窂圥つ鈓婥鴘䄎䅵䈏䅲䮋䮈䮙䕸䄎䮓䲇䒌䔔䀍憇忀擭捾擭㽮䖂䮒㴍覰婥覰緺䔔䨥舗䁽㼍䪔䠚遳㵯圥憇巜圥殝侂愼儥滝徺忂婥忊鉌䦄

5、䐓臐圥鮖䅵䉴逰圥蜸䦎䆁䡻䨥䀍踿圥䆃㵹婥緥䠚㽶䦊䦄㾀䐓䲕䪙㵻䀍䡿㼍䄎㵰䖊䔔䮓䄎䲇䒌䔔䀍㽮䠚㽶壂㽲䲚䮗覰婥隂䮈鉆窯㵱魿䔔鹷穒忊涊圥涃侂槞儥滝敄敄壂敄敍婥憇鮇䢐䆁㹲魣圥駷㹶䨥遈圥萅䖁㵻綊䆃㵹婥緵䪆㽮䠚㽲䒌䂀䬥壂㽵䢉䁳䂃㼍䆂䄎䤚㽮䠚㽶㽼䪈䅽㴍䬥䨥䖂䖂䮕䆁㵯䠚䄎䲇䒌䔔䀍㽮䖂䮒㴍覰婥覰緺䔔䨥舗䁽㼍䪔䠚遳㵯圥憇巣圥浿侂徺儥滝掆巚壂掆巤婥憈籚䔔䂇鈠圥詤䦄䪊綊蜸㹿㴍逩圥䆃㵹婥陞䮎䀍㽮䖂䬥壂䥾滝㴍憉妜䅰䆇䲋䅽㼍䄎覰婥蜽㵱鉌㽸圥憇巜圥憓侂欼儥滝樢桪壂樤桪婥憉貁䅸䪕䆃䆁豝圥躃䬥訮圥緺㴍阠圥䆃㵹婥裩䲇䒌䔔䀍㽮䔔壂䪔䥾䖂䁳䅳㴍䡿䑴䠚䁷㴍盦覰婥窽䨥鮗鏧㽼䠚圥憇巟圥徾侂挙儥滝憓嶛壂

6、憓桪婥憇忀壂巘壂捸徺巟壂憉巤憇忀巜壂巚巤壂巜陁蚉緥愼啇陁蚉餫桪稑DiagnosisandtreatmentofhyperparathyroidcrisisSUNHui,LIUXiao-li.DepartmentofThyroidSurgery,China-JapanUnionHospital,JilinUniversity,Changchun130033,ChinaCorrespondingauthor:SUNHui,E-mail:sunhui1229@163.comAbstractHyperparathyroidcrisisinducedbyhyp

7、erparathyroidismisarareandlife-threateningdisease,whichismostcommonlyduetoasingleparathyroidadenomaandisoftenassociatedwithacharacteristicmicrocystichistopathologicalpattern.Thecommonmanifestations徿巗捽膢䥾䖀䪍徾憗碃忂挙嫭䮒憇忀擭捾擭includingthemarkedelevationinPTHandCa2+reflectrapiddeteriorati

8、onofcardiac,gastrointestinal,renal,andcentralnervousfu