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本文报告本院1977年建立内分泌组以来,至1981年6月诊治8例特发性甲状旁腺功能减退症的经验和体会。特发甲旁减突出的临床表现是慢性手足搐搦,严重者可有喉头痉挛。本组两例还有精神异常,一例为癫痫,一例为精神分裂症样精神异常。两例伴有白内障。出现_ITousseau征者7例。转发性甲旁减的生化改变为低血钙,高血磷,正常碱性磷酸酶,低尿钙和低尿磷。其重要性依次递减,尤以前三项最重要。本组8例治前平均血钙为6.25±1.04mg％,平均血磷为5.63±0.67mg％,碱性磷酸酶皆正常。本文强调了心电图对诊断低血钙的重要性。本组7例作了血气分析,3例为代谢性碱中毒失代偿,1例碱血症,3例正常。
This article reports the experience and experience of treating 8 patients with idiopathic hypoparathyroidism since our establishment of the endocrine group in 1977 and June 1981. The clinical manifestations of idiopathic paracentesis are chronic tetany, severe cases may have laryngeal spasm. Two patients in this group also have mental disorders, one case of epilepsy, one case of schizophrenia-like mental abnormalities. Two cases associated with cataracts. 7 cases appeared _ITousseau sign. The biochemical changes of transposable hypoparathyroidism are hypocalcemia, hyperphosphatemia, normal alkaline phosphatase, low urinary calcium, and low urinary phosphorus. The importance of decreasing order, especially the first three most important. This group of 8 pre-treatment mean serum calcium of 6.25 ± 1.04mg%, the average phosphorus was 5.63 ± 0.67mg%, alkaline phosphatase are normal. This article highlights the importance of electrocardiography in the diagnosis of hypocalcemia. Seven patients in this group made blood gas analysis, 3 cases of decompensated metabolic alkalosis, 1 case of alkalosis, 3 cases of normal.