论文部分内容阅读
患者,男,15岁,以“反复手足抽搐、全身肌肉疼痛1年,加重4天”为主诉入院。既往体健。无颈部手术及放射线照射史,无家族史。入院时查体:T 37.0℃、BP 130mmH g/80mmH g、P106min-1,R 20min-1,神志清楚,精神差,Chvostek征和Trousseau征阳性,心肺腹查体未见异常,四肢肌力正常,肱二、三头肌及膝腱反射亢进,双侧病理征未引出。入院后查心电图提示QT间期延长,肌酸激酶5 420u/L,乳酸脱氢酶800u/L,血钙1.28mmol/L,头颅CT正常,PTH 3pg/mL[正常
Patients, male, 15 years old, with “repeated hand and foot convulsions, generalized muscular pain for 1 year, aggravating 4 days ” the main complaint was admitted. Past physical health. No neck surgery and radiation exposure history, no family history. Physical examination at admission: T 37.0 ℃, BP 130mmH g / 80mmH g, P106min-1, R 20min-1, clear consciousness, poor spirit, Chvostek sign and Trousseau sign positive, no abnormal cardiopulmonary abdominal examination, , Brachial, triceps and knee tendon hyperreflexia, bilateral pathological signs did not lead. After admission ECG check QT interval was prolonged, creatine kinase 5 420u / L, lactate dehydrogenase 800u / L, calcium 1.28mmol / L, head CT normal, PTH 3pg / mL [normal