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不明原因的手足抽搐的老年病人收入内科病房,入院后因各种原因未检查血清iPTH水平。但不容忽视的是对于反复发作性手足抽搐的病人,需警惕原发性甲状旁腺功能减退症的诊断。现1例病例在我们临床诊疗中应注意原发性甲状旁腺功能减退症的漏诊。1临床资料病例1:患者,女性,76岁。因"反复胸闷心悸半年,活动后气急2月,
Elderly patients with unexplained tetany are admitted to the medical ward and serum iPTH levels are not examined for various reasons after admission. But can not be ignored is that patients with recurrent episodes of hand, foot and need to be alert to the diagnosis of primary hypoparathyroidism. Now a case of patients in our clinical diagnosis and treatment should pay attention to the primary diagnosis of hypoparathyroidism. 1 clinical data Case 1: patients, women, 76 years old. Due to repeated chest tightness palpitations six months after the event in February,