甲状旁腺危象三例报道并文献复习

回顾分析我科近10年收治的3例及国内文献报道的125例甲状旁腺危象患者的临床资料。我院3例均为男性，病程3个月--10年，血钙3．72—5．19mmol／L，术后病理检查2例为甲状旁腺癌、1例为甲状旁腺腺瘤。国内中文文献报道的177例中，资料完整者125例。128例的男女比例为1：1．17，平均年龄（46±14）岁（15～75岁），血钙（4．30±0．58）mmol／L（3．75—7．28mmol／L），性别问和良恶性病变者间的年龄、血钙水平差异均无统计学意义；117例有病理类型，以腺瘤最多，占74．4％（87／117）；男性患者（57例）中甲状旁腺癌比例高于女性（33．3％与11．7％），差异有统计学意义。初诊误诊率25．O％（32／128）。死亡率9．4％（17／180），半数为术前死亡。

Three cases of parathyroid crisis and a literature review

To explore the clinicopathological characteristics of parathyroid crisis. The data of 3 cases from our hospital and 125 cases reported domestically were retrospectively analyzed. All 3 cases were male. And their disease course was 3 months to 10 years. The serum calcium ranged from 3.72 to 5.19 mmol/1. Among 177 retrieved cases, 125 had complete basic data. The male/female ratio was 1 ： 1.17, average age （46 ± 14） （15 -75） years and average serum calcium （4. 30 ±0. 58） （3.75 -7.28） mmol/L. There was no difference between genders or benign and malignant pathological types. Among 117 cases with pathological diagnosis, the most common type was adenoma （74. 4% ）. The ratio of parathyroid carcinoma was higher in males than that in females （33.3% vs. 11.7% ）. Misdiagnosis rate was 25.0% upon initial presentations. Case fatality rate stood at 9.4% （17/180） and half of them died preoperatively.