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作者根据82例甲亢病人的研究,并结合文献复习了甲亢治疗前后钙代谢紊乱。治疗前:(1)由于甲状腺激素分泌过多,处于钙负平衡:①粪钙高、由于肠吸收减少,分泌过多;②尿钙稍高,本文平均226毫克/日,11例高于350毫克/日;③骨骼同位素检查显示钙更新率加速,骨吸收占优势,病人有骨质疏松,破骨细胞活动占优势,半数以上病人硷性磷酸酶增高;④部分病人血钙明显高于正常,见于严重甲亢,如用抗甲状腺药物8周,血钙回复正常,表明高血钙是由于甲状腺激素过多所引
According to the study of 82 cases of hyperthyroidism patients, combined with the literature review of hyperthyroidism before and after treatment of calcium metabolism disorders. Before treatment: (1) due to excessive secretion of thyroid hormone, in a negative balance of calcium: ① fecal calcium high, due to reduced intestinal absorption, excessive secretion; ② urinary calcium slightly higher, this article an average of 226 mg / day, 11 cases higher than 350 Mg / day; ③ bone isotope examination showed accelerated calcium update rate, bone resorption predominance, patients with osteoporosis, osteoclast activity predominance, more than half of patients with alkaline phosphatase increased; ④ some patients with serum calcium was significantly higher than normal , Seen in severe hyperthyroidism, such as anti-thyroid drugs for 8 weeks, serum calcium returned to normal, indicating that hypercalcemia is due to excessive thyroid hormone