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患者女性,39岁,工人,因患甲状腺肿,于4年前某医院行甲状腺次全切除术,术后第2天出现面、手足发麻、继之搐搦,需静脉注射钙剂才得缓解,4年来丧失劳力,长服钙片及维生素D并间断注射钙剂,每于经期搐搦频发持续。感无力、怕冷、视物模糊,两踝肿、体重增加;半年前出现月经过多,近半月来需每日静注钙2克才能维持。因阴道
Female, 39, worker, suffering from goiter. A subtotal thyroidectomy was performed in a hospital 4 years ago. On the 2nd postoperative day, numbness of hands, feet and numbness followed by convulsions were required to be relieved by intravenous administration of calcium , 4 years of loss of labor, long service of calcium and vitamin D and intermittent injection of calcium, frequent seizures every menstrual cycle continued. Sense of weakness, fear of cold, blurred vision, two ankle swelling, weight gain; menorrhagia appeared more than six months ago, nearly half of the need for daily intravenous infusion of 2 g of calcium can be maintained. Due to the vagina