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題 名 | 以股骨頸骨折為主要症候的原發性副甲狀腺機能過高症併發生非毒性多發結節甲狀腺瘤--病例報告=Hip Fracture as the Principal Complaint in Primary Hyperpar-Athyroidism with a Coexisting Nontoxic Multinodular Goiter-- A Case Report |
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作 者 | 王德源; 黃信哲; 李文宏; | 書刊名 | 中國醫藥學院雜誌 |
卷 期 | 7:3 1998.09[民87.09] |
頁 次 | 頁99-105 |
分類號 | 416.26、416.26 |
關鍵詞 | 原發性副甲狀腺機能過高症; 股骨頸骨折; 甲狀腺瘤; Hyperparathyroidism; Femoral neck fracture; Nontoxic multinodular goiter; |
語 文 | 中文(Chinese) |
中文摘要 | 副甲狀腺機能過高症是一種不常見的疾病,通常是在例行的血液電解質檢查時發現有高鈣血症或是因為高鈣血症而引發腎結石、多尿、易渴,肌肉無力或是肚子痛等臨床症狀或症候而發現此病。副甲狀腺的主要作用為溶骨而後釋出骨內之鈣至血中,故可能促發骨折,在副甲狀腺機能過高症之病人其骨折發生率為百分之十,但迄今為止祇有少數幾個個例告在副甲狀腺機能過高症之病人併發有股骨頸骨折,又更少見的祇有一例病例報告為先有股骨頸骨折並以此為主要症候而進而發現此病。在此我們提出一例此種罕見之病例又同時併有非毒性多發結節甲狀腺瘤以供參考。 |
英文摘要 | Hyperparathyroidism is an uncommon disease and is usually diagnosed as a result of finding elevated serum calcium in random blood testing or complications associated with hypercalcemia such as renal stone formation, polyuria and polydypsia, muscle weakness and abdominal discomfort. The principal action of parathyroid hormone is osteoclastic resorption of bone, which can lead to fracture. The incidence of fracture in hyperparathyroidism is about 10%. But until now there have been very few case reports about patients with fractures of the femoral neck associated with hyperparathyroidism. And there has only been one report of hip fracture as the principal complaint in primary hyperparathyroidism. Herein we report another case with a coexisting nontoxic multinodular goiter of thyroid gland. |
本系統中英文摘要資訊取自各篇刊載內容。