肾脏病与透析肾移植杂志
• 论文 • 上一篇 下一篇
出版日期:
发布日期:
Online:
Published:
摘要： 老年女性患者，急性起病，反复出现干呕、纳差、多饮、多尿，伴双下肢多关节疼痛，近期有摔倒后桡骨骨折史。入院检查示高钙危象、血清肌酐升高、甲状旁腺激素明显升高，骨密度检查示严重骨质疏松，B超示甲状腺右叶下方囊实性肿块、左肾钙质沉着。经对症治疗，患者血钙下降、肾功能好转。转至外科行“右侧甲状旁腺腺瘤、双侧甲状腺全切除术”，术后病理示右侧甲状旁腺腺瘤、右侧甲状腺乳头状癌。
关键词: 高钙危象, 急性肾损伤, 原发性甲状旁腺功能亢进, 甲状旁腺腺瘤, 甲状腺乳头状癌
Abstract: 68yearold woman entered our hospital complaining of acute discomfort,obtaining dysemesia,anorexia,polydipsia,polyuria,and multiple arthralgia of both lower limbsSeveral weeks before admission,she suffered with right distal radius fracture after accidental fall.The blood test showed hypercalcemic crisis,elevated serum creatinine and parathyroid hormone (PTH)Bone density measurement showed severe osteoporosis.Doppler ultrasonography showed a cystic mass on the inferior pole of the right lobe of thyroid and calcinosis in the left kidney.After symptomatic treatment,her calcium concentration decreased and renal function improvedShe received right parathyroidectomy and bilateral thyroidectomy,and the pathological examination confirmed right parathyroid adenoma and papillary thyroid carcinoma.
郭锦洲,许书添,李世军. 原发性甲状旁腺功能亢进伴急性肾损伤[J]. 肾脏病与透析肾移植杂志, DOI: 10.3969/j.issn.1006-298X.2019.05.019.
GUO Jinzhou,XU Shutian,LI Shijun. Acute kidney injury due to primary hyperparathyroidisminduced hypercalcemic crisis[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, DOI: 10.3969/j.issn.1006-298X.2019.05.019.
0 / / 推荐
导出引用管理器 EndNote|Ris|BibTeX
链接本文: http://www.njcndt.com/CN/10.3969/j.issn.1006-298X.2019.05.019
http://www.njcndt.com/CN/Y2019/V28/I5/488
