高钙血症病人55例临床分析  

ETIOLOGY AND CLINICAL MANIFESTATIONS OF HYPERCALCEMIA:AN ANALYSIS OF 55 CASES

作　　者：孙婷婷[1] 刘金波[2] 马利丹[1] 刘甜[1] 贾兆通[1] SUN Tingting;LIU Jinbo;MA Lidan;LIU Tian;JIA Zhaotong(Department of Endocrinology and Metabolic Diseases,Affiliated Hospital with Qingdao University,Qingdao 266003,Chin)

机构地区：[1]青岛大学附属医院内分泌与代谢性疾病科,山东青岛266003 [2]山东大学齐鲁医院内分泌科

出　　处：《青岛大学学报（医学版）》2018年第4期476-479,共4页Journal of Qingdao University(Medical Sciences)

摘　　要：目的探讨高钙血症的病因、临床表现,减少漏诊及误诊。方法回顾性分析55例高钙血症病人的临床资料。结果 55例病人中原发性甲状旁腺功能亢进症(PHPT)47例,非甲状旁腺恶性肿瘤6例,甲状腺功能亢进症1例,未诊断1例。病人临床表现为消化系统症状者占49.1%,泌尿系统症状45.4%,骨骼系统症状29.0%,神经精神症状25.5%。结论高钙血症主要病因为PHPT,多以消化系统、泌尿系统、骨骼系统及神经精神系统症状为主要表现。Objective To investigate the etiology and clinical manifestations of hypercalcemia,and to reduce missed diagnosis and misdiagnosis. Methods A retrospective analysis was performed for the clinical data of 55 patients with hypercalcemia.Results Of all 55 patients,47 had primary hyperparathyroidism（PHPT）,6 had non-parathyroid malignant tumor,1 had hyperthyroidism,and 1 had no clear diagnosis.As for clinical manifestations,49.1% had gastrointestinal symptoms,45.4% had urinary symptoms,29.0% had skeletal symptoms,and 25.5% had neuropsychiatric symptoms. Conclusion PHPT is the major cause of hypercalcemia,and its clinical manifestations include gastrointestinal,urinary,skeletal,and neuropsychiatric symptoms.

关 键 词：高钙血症 高钙危象 诊断 治疗学 

分 类 号：R589.5[医药卫生—内分泌]