论文部分内容阅读
患者女,50岁,1990年10月入院。1978年开始出现手足麻木,查血钙低。1985年2月因抽搐首次住院。查:血钙1.72mmol/L,血磷2.28 mmol/LAKP:1.0卜氏单位,尿钙1.5 mmol/L24h,尿磷13mmol/24h,磷清除率7.05 ml/min,确诊特发性甲状旁腺功能减退症,经补钙、AT10治疗后,血钙、血磷恢复正常,抽搐消失,此后间断治疗,常有抽搐发作。1988年9月开始,常於劳累、抽搐发作时出现胸闷、气促、心前区闷痛向左肩背部放射,诊断为冠
Female patient, 50 years old, admitted to hospital in October 1990. Hand-foot numbness began to appear in 1978, check blood calcium low. February 1985 First hospitalized for convulsion. Check: calcium 1.72mmol / L, phosphorus 2.28mmol / LAKP: 1.0 BU units, urinary calcium 1.5mmol / L24h, urine phosphorus 13mmol / 24h, phosphorus clearance 7.05ml / min, diagnosis of idiopathic parathyroid function Hypothyroidism, by calcium, AT10 treatment, serum calcium, phosphorus returned to normal, convulsions disappear, after intermittent treatment, often convulsive seizures. Beginning in September 1988, often in fatigue, convulsive seizures appear chest tightness, shortness of breath, precordial boring pain radiating to the left shoulder back, the diagnosis of the crown