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目的:探讨原发性甲状旁腺功能亢进症高血钙危象急诊手术的疗效和意义。方法:7例患者均行甲状旁腺腺瘤摘除术。结果:术后患者血清游离钙和血PTH在24 h内均降至正常。结论:原发性甲状旁腺功能亢进并高血钙在诊断明确、快速术前准备下尽早手术,术后能快速降低血清游离钙,降低高钙血症的危险。
Objective: To investigate the efficacy and significance of emergency treatment of hypercalcic crisis in patients with primary hyperparathyroidism. Methods: Seven patients underwent parathyroid adenoma excision. Results: Serum free calcium and blood PTH decreased to normal within 24 hours after operation. Conclusion: Primary hyperparathyroidism with hypercalcemia can be treated as soon as possible after diagnosis and rapid preoperative preparation. It can rapidly reduce serum free calcium and reduce the risk of hypercalcemia after operation.