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1、308 彜薬 篶 鮆 証婥 陞 覰 婥 緺 鏧 倛 緾駞圥憇徺圥 憉侂桪冔敓欼壂曥槞 婥愼蝖魙圥 萚袞圥 萢 窂圥 婥 鴭 鸏鬶 壂忊殕壂忊涃滝 鉆 緥 耉籄駥 婥 鴘窼 緾 鮗緾 緥 窼 緥 鮍覰婥 緥圥忊涋圥 殗 侂挙冔 曪欼壂曫擭婥挙蹳 阬圥 詖 魥圥 簔圥 婥 鴧 麡鮖覰婥緥圥憇巣圥 徺洠侂洠冔 忇掁壂忇敆婥擭萪 鏐 鲪 裪 婥鮗 滝 覰婥 覰 鮗圥忊殔圥 欼侂挙冔 掋愼壂敄嶛婥暤圥婥徺覰 婥圥 憇巣圥 忂侂彜冔樬壂殎婥桪蜸 觿 遬 讬 籈 魱圥 婥 萅 壂覰婥覰 陞 緳蜽 圥憇巙圥掆侂挙冔捹擭壂捹槞婥槞鮆 膤 緺徾愼 滝 覰婥 覰 緺舗 遳 圥憇巘圥 殗 侂愼冔 敒暤壂敓挙婥欼萒 駞
2、 蕳圥 豽膡 詜 讬 婥 陞壂 圥 圥 壂覰婥 緥圥憇巣圥 徻嶛 侂愼冔 憏暤壂憓擭婥洠 簠圥 蹳詀婥 鉜 滝 覰 婥 蜽 鉌 陞憇巪圥 挙侂愼冔 忀嶛壂忀洠婥徺鴘 魝圥 隂穼婥鴘 覰婥 縄鏪 鏮 蜽 鉌 鮗圥憇巜圥徾侂愼儥滝涀壂涆 婥徻鮏 綊 籔 穳圥 籈 闑 婥 縄 覰婥覰 舗 裞圥憇巗圥 憌侂擭儥滝憏暤壂憏槞婥徾蝍 臈圥 邎 翤圥 豷 窌婥 陞 滝 覰婥 窽 鮗 圥忊梺圥 忂洠侂擭儥滝梲彜壂梴嶛婥徿豷 膤 陞 覰婥 縄鴧鏪鏧壂圥憇巘圥 愼侂擭儥滝捾槞 壂捿擭婥忀魿穒緥 篹 陞 婥 稑樠覰婥 緥圥忊樥圥 捹 侂挙儥滝梬嶛壂梬暤婥忁萒 駞 蕳圥 豽膡 鴐 羳 婥耑壂 壂覰婥 緥圥憇巪圥 徻暤
3、侂愼儥滝捽擭壂捾擭婥忂裄 迯 躕 莣 萅 蕋 麣妔 滝 忊覰婥 覰 鮗鏧壂圥憇巜圥 殜侂擭儥滝憉挙壂憉欼 婥忇豷 膡 竂 綊 耹 韲圥 婥 躃 壂 覰婥 竂 鮗圥憇巘圥 徿桪 侂欼儥滝殙欼壂殜暤婥忈耑窂圥鈓婥鴘 憇忀擭捾擭覰婥 覰 緺 舗 遳 圥憇巜圥 殝侂愼儥滝徺忂婥忊鉌 臐圥 鮖逰圥 蜸 踿圥 婥 緥 壂覰婥 隂 鉆窯 魿 鹷穒忊涊圥 涃侂槞儥滝敄敄壂敄敍婥憇鮇魣圥駷 遈圥 萅 綊 婥 緵 壂 覰婥 覰 緺 舗 遳 圥憇巣圥 浿侂徺儥滝掆巚壂掆巤婥憈籚 鈠圥 詤綊 蜸 逩圥 婥 陞 壂滝 憉 妜 覰 婥 蜽 鉌圥憇巜圥憓侂欼儥滝樢桪壂樤桪婥憉貁 豝圥 躃 訮圥 緺阠圥 婥 裩 壂 盦覰婥
4、窽 鮗鏧圥憇巟圥 徾侂挙儥滝憓嶛 壂憓桪婥憇忀壂巘 壂捸徺巟壂憉巤憇忀巜 壂巚巤壂巜陁蚉緥 愼啇陁蚉餫桪稑DiagnosisandtreatmentofhyperparathyroidcrisisSUN Hui, LIU Xiao-li. Department of Thyroid Surgery, China-Japan Union Hospital, Jilin University, Changchun 130033, ChinaCorresponding author: SUN Hui, E-mail: sunhui1229163. comAbstract Hyperparathyro
5、id crisis induced by hyperparathyroidism is a rare and life-threatening disease, which is most commonly due to a single parathyroid adenoma and is often associated with a characteristic microcystic histopathological pattern.The common manifestations徿巗捽膢徾憗碃忂挙 嫭憇忀擭捾擭including the marked elevation in P
6、TH and Ca2 + reflect rapid deterioration of cardiac, gastrointestinal, renal, and central nervous function. It also reinforces the importance of preoperative definite diagnostic and accurate lesions localizing, prompt initial medical management and operative timing judgment, frozen section and quick
7、ly PTH determination in the operation highlighting the difficulties facing the endocrine surgeon in dealing with parathyroid disease. It is necessary to emphasize perioperative management in treatment of hyperparathyroid crisis. However, urgent surgery is required after the patients are hydrated suf
8、ficiently, even if conservative therapy is not successful.Keywords hyperparathyroid crisis; hyperparathyroidism; parathyroidectomy; hypercalcemic crisis忊憏緾 壂陁蚉陁蚉躃 彜忊掋蜸彜婥桪鈦桪婥嶛鈦忊曮涀 鈦忊梸梬 鈦忊殐忀 鈦彜敄彜陁蚉陁蚉掋曯岠愼壂挙陁蚉緥 愼啇愼陁蚉309 挙婥樧岠彜愼鞵鱙垾圥鷕挙擭暤挙挙婥彜彜愼挙婥樧岠挙擭陁蚉陁蚉挙擭徺挙婥愼緍圥陁蚉擭緍遈蠬圥圥燰彜 圥涁 婥暤鈦涄 婥嶛鈦緍甀 彜 殏婥欼鈦甀彜婥欼 槞婥暤婥彜婥桪愼憖
9、鈦曥 鈦挙婥挙陁蚉陁蝑閁陁蚉陁蚉圥圥圥圥圥擭浿 鈦 暤擭婥彜310 憇桪壂槞擭婥彜婥彜憍愼婥暤暤婥嶛 岠擭桪 圥擭婥彜婥愼陁蚉樤擭婥彜婥挙憍 忁愼挙欼圥擭婥愼擭婥愼婥彜樤憇巤陯 愼緥愼啇欼 壂憇薞 洠敒徺擭婥愼婥愼鳱暤忁捸鳱陁蚉挙暤 圥 陁蚉暤 曥 鈦陁蚉燰曥 鈦陁蚉甀曥 鈦鳱憇忀擭捾擭涃 婥嶛鈦涆 婥暤鈦擭婥愼婥挙簨腉鹮腉殎 鈦殕 鈦忁 鈦愼鈦 擭鈦敄 鈦忀 鈦憓 鈦擭婥愼婥挙婥彜簨腉簨腉浽 鈦涃 鈦鳱燰曥 鈦擭挙婥暤曥擭彜 彜彜尌愼彜尌擭挙簨腉擭婥愼婥挙婥愼鹮腉鹮腉圥鹮腉鳱擭婥愼婥挙婥挙鳱翧袮萅徻翧袮敍 燰憇徾暤憍敒圥槞忀憌罫挙彜遬 穒 鴢 豒圥 遬 蛗 婥 裞 壂 覰蜽 鉌圥憇巤圥捸侂彜
10、冔 徾槞壂徿彜婥愼陯 餫遰蜽緉婥蝜憇忀擭捾擭 覰婥 覰 窼 緾鮗憇巤圥 憇桪侂桪冔 徻巠壂徻忁婥挙鴐窌圥魽 觿 鮇 闓 稑 滝 籈 覰婥 緥駥遳憇徺圥憇徺滝曵梮殕婥擭婥菦穓鴗覰婥圥憇徿圥槞侂愼冔 忁擭壂忁桪婥暤緥 觿 蹳訲圥 鮍 綨婥 陞壂 敄 妔 覰嫑 圥憇徺圥 忀欼侂擭冔殎槞壂殏挙 婥桪薣 綵圥 薾 迯 迯 婥 蝜 壂 覰媼 遳 憇巤圥徿挙 偒 儥潖挙婥槞婥覰婥圥憇巤圥憖 侂挙冔 忇挙壂忇擭婥欼 闓 縄 壂 覰 婥耰憇巠圥梷 侂忇冔憈殝壂憉徻婥洠薞 蕅 緥 迯 邜篶 婥 窯 壂 掁覰婥 窽 裪 緳圥憇巜圥樧 侂挙冔 捼彜壂捼擭婥徺鮖 踾圥 籏 闑 鴘綊 婥 緺 壂 奾 覰 婥 覰 鮗 圥憇
11、徻圥捿侂愼冔 捽彜 壂捽暤 婥徻萅圥 鴩蹏圥緳詉圥婥鴘妐 壂 壂 婥 覰婥緺 舗 倕兺憇巤圥梹 侂擭冔 曨嶛 壂曨欼婥徾陞 穒 蹪 臎圥 遬 蛗 婥 窽壂 覰婥 舥覰 窽壂圥憇巤圥憏侂洠冔 樫愼壂樫擭 婥憇忀壂巙 壂憇徺巟壂 巤憇 巜 壂 壂 阨陁阨陁徻巗巘膢礩嫭嫯嫭311 阨陁阨陁餫 稑Asymptomatic primary hyperparathyroidism Diagnosisand therapy ZHANG Hao. Department of General Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, ChinaAbstract As a result of a screening of serum calcium and and parathyroid hormone and neck ultrasound examination, the incidence of asymptomatic primary hyperparathyroidism倖 鴘 阨陁 婥窻阨陁圥阨陁圥阨陁婥鴘 圥妕 阨陁婥Keywords壂阨陁阨陁阨陁阨陁憇殎 鈦阨陁阨陁彜壂愼阨陁阨陁阨陁挙壂擭阨陁彜阨陁彜婥彜阨陁徺彜 挙阨陁彜尌挙