甲状旁腺危象合并急性胰腺炎临床病例特征分析  

Analysis of Clinical Characteristics of Parathyroid Crisis Complicated with Acute Pancreatitis

作　　者：柏玉卓 周一丁 范雨 王艳华[2] BAI Yuzhuo;ZHOU Yiding;FAN Yu;WANG Yanhua(Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;General Surgery,The 964th Hospital of the People's Liberation Army Joint Service Support Force,Changchun 130000,China)

机构地区：[1]长春中医药大学附属医院,长春130021 [2]中国人民解放军联勤保障部队第964医院普通外科,长春130000

出　　处：《吉林中医药》2019年第12期1617-1620,共4页Jilin Journal of Chinese Medicine

摘　　要：目的分析甲状旁腺危象合并急性胰腺炎的诊疗过程,探讨本病的影像学及病理特征,降低误诊误治率,提高诊治水平。方法通过1例甲状旁腺危象合并急性胰腺炎患者的临床资料,结合相关文献,分析其临床特点、诊治过程。结果诊断明确后,经中医药治疗及手术治疗,患者恢复良好。术后随访3个月,患者血淀粉酶、脂肪酶等指标已恢复正常,离子水平恢复正常。结论对于无明显诱因的急性胰腺炎合并高钙血症的患者,详细检查甲状旁腺功能及相关影像学检查可以明确诊断;常规治疗联合中医药治疗可明显降低血淀粉酶、脂肪酶的指标及血钙水平,降低病死率。Objective To analyze the diagnosis and treatment of parathyroid crisis combined with acute pancreatitis,to explore the imaging and pathological features of the disease,to reduce the rate of misdiagnosis and treatment,and to improve the diagnosis and treatment.Methods The clinical data,diagnosis and treatment of one case of parathyroid crisis combined with acute pancreatitis were analyzed.Results After the diagnosis was clear,the patients recovered well after treatment with traditional Chinese medicine and surgery.After three months of followup,the serum amylase and lipase levels of the patients returned to normal and the ion levels returned to normal.Conclusion For patients with acute pancreatitis and hypercalcemia without obvious cause,detailed examination of parathyroid function and related imaging examination can confi rm the diagnosis.Conventional treatment combined with traditional Chinese medicine treatment can signifi cantly reduce blood amylase,lipase index and blood calcium levels reduce the mortality rate of the disease.

关 键 词：甲状旁腺危象 急性胰腺炎 甲状旁腺腺瘤 中药灌肠 手术治疗 

分 类 号：R581[医药卫生—内分泌]