伴原发性甲状旁腺功能亢进急性胰腺炎3例随访报道  

Acute pancreatitis with primary hyperparathyroidism: report of 3 cases

作　　者：谢守勇[1] 刘晓莉[1] 李洁[1] Xie Shouyong;Liu Xiaoli;Li Jie(Department of Integrated Traditional Chinese and Western Medicine, The First People 's Hospital of Yibin, Yibin644000, China)

机构地区：[1]宜宾市第一人民医院中西医结合科,644000

出　　处：《国际医药卫生导报》2019年第6期949-951,共3页International Medicine and Health Guidance News

摘　　要：目的探讨伴原发性甲状旁腺功能亢进的急性胰腺炎的病例特点。方法总结3例伴原发性甲状旁腺功能亢进的急性胰腺炎5次住院的病例资料及随访情况。结果3例患者5次住院均表现为入院时血钙升高,治疗后血钙下降但不明显;3例均伴泌尿系统结石;2例第1次入院未查甲状旁腺激素而漏诊;2例急性胰腺炎临床表现不典型;1例行甲状旁腺手术,2例未手术;随访均未复发。结论伴原发性甲状旁腺功能亢进的急性胰腺炎以高钙血症、易漏诊、伴泌尿系统结石、部分临床表现不典型为特点。Objective To investigate the clinical characteristics of acute pancreatitis with primary hyperparathyroidism. Method The clinical data and follow-up status of 3 cases of acute pancreatitis with primary hyperparathyroidism were reviewed (hospitalized for 5 times). Results The level of serum calcium was elevated after admission, which decreased slightly after treatment. There were 3 cases of urinary calculus. Missed parathyroid hormone detection caused 2 cases of missed diagnosis at the first admission. 2 cases of acute pancreatitis had typical clinical manifestations. 1 case underwent parathyroid surgery, and 2 cases of no surgery. There was no relapse during the follow-up. Conclusion Acute pancreatitis with primary hyperparathyroidism is characterized by hypercalcemia, missed diagnosis, urinary calculus, and part typical clinical manifestations.

关 键 词：急性胰腺炎 原发性甲状旁腺功能亢进 高钙血症 漏诊 

分 类 号：R576[医药卫生—消化系统] R582.1[医药卫生—内科学]