甲状旁腺机能减退症(简称甲旁减)临床较少见。我院自1973年至1990年共收治14例,其中甲状腺术后甲旁减(SHP)7例,特发性甲旁减(IHP)7例。前者有一例并甲旁减心脏病和后者有5例被误、漏诊为其它疾病,不同程度地延误了治疗。本文就误、漏诊病例进行了分析,以吸取教训,提高诊断水平。 1.误诊为“原发性癫痫”例1,王某,女,15岁。一年多来发作性手足搐触,有时伴短暂意识丧失,当地诊断为“原发性癫痫小发作”,但服苯妥英钠无效。于1990年3月住我院。体检:发育和毛发皮肤正常,视力好,心肺(一),Chvestek Parathyroid hypothyroidism (referred to as hypoparathyroidism) clinical less common. Fourteen cases were treated in our hospital from 1973 to 1990, including 7 cases of thyroid postoperative hypoparathyroidism (SHP) and 7 cases of idiopathic hypoparathyroidism (IHP). The former has a case and a side by side heart disease and the latter five cases were misdiagnosed as misdiagnosis of other diseases, to varying degrees, delayed treatment. In this paper, misdiagnosis, missed cases were analyzed to learn lessons to improve the diagnostic level. 1 misdiagnosed as “primary epilepsy” cases 1, Wang, female, 15 years old. More than one year episodes of episodes of tetany, sometimes accompanied by brief loss of consciousness, were diagnosed locally as “minor epileptic seizures,” but not on phenytoin sodium. In March 1990 to live in our hospital. Physical examination: development and normal skin and hair, good eyesight, cardiopulmonary (A), Chvestek