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本文报告60例原发性甲旁亢(1963～1990)并给以临床分型。男25例,女35例。平均年龄34.2岁,平均病程5.6年。54例接受手术治疗,其中47例为腺瘤,5例增生与2例癌。另6例接受甲腈眯胍治疗。甲旁亢诊断主要依靠高血钙,低血磷,低血镁,AKP 升高,血 Cl/P 比值升高,PTH、BGP 升高,TRP 降低,以及尿钙、磷、镁、HOP 及 cAMP 升高。甲旁亢临床可并发多种疾病,41例骨病变,17例骨肾病变,2例肾结石,7例溃疡病,3例急性胰腺炎,4例危象,6例高血压和6例心脏病等十余种临床并发症。死亡4例(6.6%),术后预后较好。
This article reports 60 cases of primary hyperparathyroidism (1963 ~ 1990) and to the clinical classification. 25 males and 35 females. The average age of 34.2 years, the average duration of 5.6 years. Fifty-four patients underwent surgery, of which 47 were adenomas, 5 were hyperplastic and 2 were carcinomas. The other 6 patients were treated with ACN. Hyperparathyroidism diagnosis mainly depends on hypercalcemia, hypophosphatemia, hypomagnesemia, AKP, blood Cl / P ratio increased, PTH, BGP increased, TRP decreased, and urinary calcium, phosphorus, magnesium, HOP and cAMP Rise. Hyperparathyroidism clinical may be complicated by a variety of diseases, 41 cases of bone lesions, 17 cases of bone and kidney disease, 2 cases of kidney stones, 7 cases of ulcer disease, 3 cases of acute pancreatitis, 4 cases of crisis, 6 cases of hypertension and 6 cases of heart Diseases and more than 10 kinds of clinical complications. 4 died (6.6%), the prognosis was good.