| 原发性甲状旁腺功能亢进症九例治疗分析 |
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| 引用本文： | 李晓曦,王深明,李松奇,刘仁斌,刘奕山,林勇杰. 原发性甲状旁腺功能亢进症九例治疗分析[J]. 临床外科杂志, 2000, 8(4): 210-211 |
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| 作者姓名： | 李晓曦 王深明 李松奇 刘仁斌 刘奕山 林勇杰 |
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| 作者单位： | 510080,广州,中山医科大学附属第一医院外科 |
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| 摘 要： | 目的 探讨原发性甲状旁腺功能亢进症（ＰＨＰＴ）的误诊原因。方法 回顾性分析近２年中收治的９例ＰＨＰＴ诊治经过。结果 ９例中有７例曾被误诊为尿石症，类风湿性关节炎，周围神经炎，肌肉萎缩，骨质疏松，骨巨细胞瘤或恶性肿瘤的多处骨转移，误诊时间平均４年。结论 结合临床表现、高钙血症和血清甲状旁腺素提高，可正确诊断ＰＨＰＴ。
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| 关 键 词： | 误诊 甲亢 钙 治疗 |
| 修稿时间： | 1999-12-08 |
Clinical evaluation of the factors involved in misdiagnosis of primary hyperparathyroidism |
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| LI Xiaoxi,WANG Shenming,LI Sonqi,et al.. Clinical evaluation of the factors involved in misdiagnosis of primary hyperparathyroidism[J]. Journal of Clinical Surgery, 2000, 8(4): 210-211 |
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| Authors: | LI Xiaoxi WANG Shenming LI Sonqi et al. |
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| Affiliation: | LI Xiaoxi,WANG Shenming,LI Sonqi,et al.Department of Surgery,the First Affiliated Hospital,Sun Yat Sen University of Medical Sciences,Guangzhou 510080,China [ |
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| Abstract: | Objective To investigate the factors that were involved in misdiagnosis of primary hyperparathyroidism.Methods Nine patients,who were identified with primary hyperparathyroidism in past 2 years,were analyzed retrospectively.Results Seven of 9 cases were misdiagnosed as nephrolithiasis,rheumatoid arthritis,peripheral neuritis,myoatrophy,osteoporosis,osteoclastoma or bony metastasis of a carcinoma.The average duration without the exact diagnosis was about 4 years.Conclusions Primary hyperparathyroidism is not difficult to be correctly diagnosed through clinical manifestations,hypercalcemia and elevation of parathyroid hormone levels.[ |
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| Keywords: | Hyperparathyroidism Misdiagnosis Calcium |
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