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頁籤選單縮合
題 名 | 副甲狀腺風暴--一病例報告暨文獻回顧=Parathyroid Storm--A Case Report |
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作 者 | 朱志勳; 韓天木; 劉絮穎; 林興中; 呂志成; 李鎮堃; | 書刊名 | 內科學誌 |
卷 期 | 9:3 1998.09[民87.09] |
頁 次 | 頁142-147 |
分類號 | 415.662 |
關鍵詞 | 高鈣血症; 原發性副甲狀腺機能亢進; 副甲狀腺風暴; Hypercalcemia; Primary hyperparathyroidism; Parathyroid storm; |
語 文 | 中文(Chinese) |
中文摘要 | 一名73歲男性因全身無力、意識不清而送至本院急診。在急診時發 現病人昏迷指數為E2V3M 4,有脫水、腎衰竭現象,並意外發現嚴重的高鈣血 症(血鈣濃度23.4mg/dl )。在住院經大量生理食鹽水、利尿劑,並且配合 Calcitonin 及Clodronate 治療,血鈣濃度逐漸下降且病情改善,意識轉為清楚。 經過一系列的檢查包括1,25 ( OH ) 2VIT D、副甲狀腺荷爾蒙(intact PTH),各 項腫瘤標記,並安排全身腫瘤掃瞄,副甲狀腺超音波、電腦斷層及副甲狀腺核 醫攝影( Tl-Tc subtraction parathyroid scan),最後診斷為副甲狀腺腺瘤引起原發 性副甲狀腺機能亢進進而導致副甲狀腺風暴,在會診外科手術將副甲狀腺腺瘤 切除後,病情維持穩定,而且在門診追蹤鈣離子濃度及副甲狀腺荷爾蒙(intact PTH)均正常。此外,我們並將副甲狀腺風暴作一文獻回顧。 U。 |
英文摘要 | A 73-year-old male patient was brought to our emergency room due to general weakness, disturbance of consciousness. The Glasgow's coma scale was E2V3M4 and the examinations revealed dehydration and renal failure. Besides, severe hypercalcemia with serum cacium up to 23.4mg/dl was incidentally found. The patient was admitted immediately and large amounts of normal saline, diuretics, combined with calcitonin and clodronate were prescribed. The serum calcium concentrations gradually declined and the general condition improved, the consciousness recovered. Serial studies were performed including 1,25(OH) �� VITD, intact PTH, tumor markers, gallium scan for tumor survey, parathyroid sonography, CT scan of neck and Tl-Tc subtraction parathyroid csan. Eventually, parathyroid adenoma induced primary hyperparathyroidism and complicated with parathyroid storm was diagnosed. The adenoma was resected and the patient was discharged with stable condition. The following serum calcium and intact PTH concentrations at OPD remained normal. Becaused the parathyroid storm is rare now, so we present this case and also review the literature concerning this disease. (J Intern Med Taiwan 1998;9:142-147) |
本系統中英文摘要資訊取自各篇刊載內容。