原发性甲状旁腺功能亢进症九例治疗分析  

Clinical evaluation of the factors involved in misdiagnosis of primary hyperparathyroidism

作　　者：李晓曦[1] 王深明[1] 李松奇[1] 刘仁斌[1] 刘奕山[1] 林勇杰[1] 

机构地区：[1]中山医科大学附属第一医院外科,广州510080

出　　处：《临床外科杂志》2000年第4期210-211,共2页Journal of Clinical Surgery

摘　　要：目的　探讨原发性甲状旁腺功能亢进症 (PHPT)的误诊原因。方法　回顾性分析近 2年中收治的 9例 PHPT诊治经过。结果　 9例中有 7例曾被误诊为尿石症 ,类风湿性关节炎 ,周围神经炎 ,肌肉萎缩 ,骨质疏松 ,骨巨细胞瘤或恶性肿瘤的多处骨转移 ,误诊时间平均 4年。结论　结合临床表现、高钙血症和血清甲状旁腺素增高 ,可正确诊断 PHPT。Objective To investigate the factors that were involved in misdiagnosis of primary hyperparathyroidism.Methods Nine patients,who were identified with primary hyperparathyroidism in past 2 years,were analyzed retrospectively.Results Seven of 9 cases were misdiagnosed as nephrolithiasis,rheumatoid arthritis,peripheral neuritis,myoatrophy,osteoporosis,osteoclastoma or bony metastasis of a carcinoma.The average duration without the exact diagnosis was about 4 years.Conclusions Primary hyperparathyroidism is not difficult to be correctly diagnosed through clinical manifestations,hypercalcemia and elevation of parathyroid hormone levels.[

关 键 词：误诊 甲亢 钙 治疗 

分 类 号：R653[医药卫生—外科学]