本文报导一例长期服避孕药(含炔诺酮和炔雌醇甲醚)的妇女继发甲旁亢。患者女性,41岁。1963年因甲状腺囊肿行甲状腺部分切除,此后用甲状腺激素治疗能维持正常的甲状腺功能。自1965年开始服用避孕药。每天喝牛奶1～2杯。未用过其它药物。未有无力、骨痛、吸收障碍和手足搐搦的表现,也无肾结石、溃疡病和接受抗酸治疗的病史。骨代谢性检查和骨扫描均 This article reports a case of long-term contraceptives (including norethindrone and ethinylestradiol methyl ether) in women with secondary hyperparathyroidism. Female patient, 41 years old. 1963 Thyroid cyst due to partial thyroidectomy, then treated with thyroid hormone can maintain normal thyroid function. Since 1965, taking birth control pills. Drink 1 to 2 cups of milk daily. No other drugs used. No signs of weakness, bone pain, malabsorption, and tetany, no history of kidney stones, ulcer disease, and antacid therapy. Bone metabolic examination and bone scan are