论文部分内容阅读
我院1978年3月至1980年5月,共收治特发性甲状旁腺机能减退4例,报告如下。临床资料本组女性3例,男性1例;年龄15～45岁。入院主诉均有反复手足抽搐,呈鹰爪状。2例长期误诊为癫痫,1例发生严重精神失常,2例有手足麻木、刺痛感,误诊为“周围神经炎、神经官能症”。无腹泻、颈部手术史。查体:3例表情淡漠、痴呆,2例皮肤干燥,1例腱反射低下,4例Trousseau’s征、Chvostek’s征均为阳性,余无异常。治疗前血钙6.6～7.5mg％,血磷4.8～7.3mg％,尿钙0.04～0.053g/日,尿磷0.36～0.44g/日,1例磷
Our hospital from March 1978 to May 1980, were treated in 4 cases of idiopathic hypoparathyroidism, the report is as follows. Clinical data The group of 3 females, 1 male; aged 15 to 45 years. Admitted to the main complaints were repeated hand, foot and limb twitch, was eagle-shaped. 2 cases of long-term misdiagnosed as epilepsy, 1 case of severe mental disorders, 2 cases of numbness, tingling, misdiagnosed as “peripheral neuritis, neurosis.” No diarrhea, history of neck surgery. Examination: 3 cases of apathy, dementia, 2 cases of dry skin, 1 case of low tendon reflexes, 4 cases of Trousseau’s sign, Chvostek’s sign were positive, I was normal. Pretreatment serum calcium 6.6 ~ 7.5mg%, phosphorus 4.8 ~ 7.3mg%, urinary calcium 0.04 ~ 0.053g / day, urinary phosphorus 0.36 ~ 0.44g / day, 1 case of phosphorus