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原发性甲状旁腺机能亢进症(以下简称甲旁亢)是一少见病例,国内迄今仅报道256例。笔者曾遇6例,其中4例长期误诊,占66.7％。现报告如下。例1.女,44岁。全身肌肉关节及骨胳疼痛半年,伴多饮多尿,夜尿增多、纳差、腹痛、消瘦,曾以“关节炎”、“糖尿病”、“垂体前叶功能紊乱”治疗无好转,渐出现乏力、失眠、行走困难、肌肉萎缩,伴有左肾绞痛、血尿等表现。1982年10月因被自行车撞伤,X线拍片证实为“多发性肋骨骨折”。后感全身疼痛加重,以“结缔组织病”入院。体检:精神差,行走困难,T36.5℃,P80次,BP145/90mmHg,皮肤巩膜无黄染。甲状腺左下极可触及2×2cm大小结节,边缘光滑,质硬,可随吞咽上下移动;全身骨胳压痛明显,双下肢肌
Primary hyperparathyroidism (hereinafter referred to as hyperparathyroidism) is a rare case, so far only reported 256 cases. I have encountered 6 cases, of which 4 cases of long-term misdiagnosis, accounting for 66.7%. The report is as follows. Example 1. Female, 44 years old. Body muscle and joint pain and bone pain for six months, with more drink more urine, nocturia, anorexia, abdominal pain, weight loss, once “arthritis”, “diabetes”, “anterior pituitary dysfunction” treatment no improvement, Fatigue, insomnia, walking difficulties, muscle wasting, accompanied by left renal colic, hematuria and other performance. In 1982 October was hit by a bicycle, X-ray film confirmed as “multiple rib fractures.” After the general feeling of aggravating pain to “connective tissue disease” admission. Physical examination: poor spirit, difficulty walking, T36.5 ℃, P80 times, BP145 / 90mmHg, scleral no yellow dye. The left lower extremity of the thyroid can reach the size of 2 × 2cm nodules, the edge is smooth, hard, can move up and down with swallowing; systemic bony tenderness obvious, double lower limb muscle