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原发性甲状旁腺机能亢进(PHPT)的人群发病率并非很低,B00str0等报告为1‰,Mundy 报告为0.25‰。由于本病起病隐匿或仅表现为某一系统的症状,早期诊断困难,易造成误诊或漏诊。本文报告曾被误诊误治的3例,并结合文献讨论临床诊断方法。病例介绍例1:男,33岁。双下肢肌力减退26个月,加重伴胸痛腰痛10个月。起病16个月后曾发
The prevalence of primary hyperparathyroidism (PHPT) is not very low, with 1 ‰ reported by B00str0 and 0.25 ‰ reported by Mundy. Because of the occult onset of the disease or only show the symptoms of a certain system, early diagnosis difficult, easily lead to misdiagnosis or missed diagnosis. This article reports three cases of misdiagnosis and mistreatment, and discusses the clinical diagnostic methods in combination with the literature. Case Presentation Example 1: Male, 33 years old. Lower extremity muscle weakness 26 months, increased with chest pain, low back pain for 10 months. 16 months after onset was made