原发性甲状旁腺功能亢进症误诊病例分析  

Analysis of misdiagnosed cases of primary hyperparathyroidism

作　　者：张敏 陈景言 李斌 杜涓 陈平 Zhang Min;Chen Jing-yan;Li Bin;Du Juan;Chen Ping(Department of Eldly Endocrinology, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu,Sichuan, 610072, China)

机构地区：[1]四川省医学科学院四川省人民医院老年内分泌科,四川成都610072

出　　处：《当代医学》2017年第30期39-41,共3页Contemporary Medicine

摘　　要：目的分析本院被误诊的原发性甲状旁腺功能亢进症的原因和特点,提高临床医生对本病的认识。方法采用病例回顾的方法,分析3例原发性甲状旁腺功能亢进症的临床资料。结果 3例患者临床症状各异,容易误诊和漏诊,但高血钙、高尿钙、高甲状旁腺素、低血磷是共同的特点。结论临床医师需提高对原发性甲状旁腺功能亢进症的全面认识,关注实验室检查结果,避免误诊误治。Objective To analyze the causes and characteristics of primary hyperparathyroidism and to improve the clinician's understanding of the disease.Methods Three cases were presented and Clinical features were analyzed.Results The clinical symptoms of3cases were different,which were easy to be misdiagnosed and missed.However,high blood calcium,high urinary calcium,high thyroid hormone and low blood phosphorus were common characteristics.Conclusion Clinicians should improve the comprehensive understanding of primary hyperparathyroidism,pay attention to the laboratory findings and avoid misdiagnosis and mistreatment.

关 键 词：原发性甲状旁腺功能亢进症 误诊 鉴别诊断 

分 类 号：R582.1[医药卫生—内分泌]