作者报告1例21岁有明显血尿史且发现有肾结石的男性患者,代谢检查可见血清钙水平(2.95mmol/l)和甲状旁腺激素水平(0.45ng/l)均升高,甲状腺功能在正常范围内。诊断为原发性甲状旁腺机能亢进症,并施行颈部探查术。手术中发现甲状腺呈均一的煤黑色,但其它肉眼观察正常,除切除甲状旁腺腺瘤外,尚取甲状腺组织作活检,可 The authors report that in a male patient 21 years of age with a clear history of hematuria who found a kidney stone, the authors reported a serum metabolic calcium level of 2.95 mmol / l and a parathyroid hormone level of 0.45 ng / l, with thyroid function at Normal range. Diagnosis of primary hyperparathyroidism, and the implementation of cervical exploration. Thyroid surgery showed a homogeneous coal black, but the other naked eye observation, in addition to removal of parathyroid adenoma, the thyroid tissue is still taken for biopsy,