中华内分泌外科杂志2024,Vol.18Issue(1) :147-148.DOI:10.3760/cma.j.cn.115807-20240109-00007

胸闷心悸加强钙剂补充后治愈一例报道

One case report of repeated chest tightness and palpitation cured after strengthening calcium supplementation

程小春 母力元 孔令泉 李凡 厉红元 任国胜 吴凯南
中华内分泌外科杂志2024,Vol.18Issue(1) :147-148.DOI:10.3760/cma.j.cn.115807-20240109-00007

胸闷心悸加强钙剂补充后治愈一例报道

One case report of repeated chest tightness and palpitation cured after strengthening calcium supplementation

程小春 1母力元 1孔令泉 1李凡 1厉红元 1任国胜 1吴凯南1
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作者信息

  • 1. 重庆医科大学附属第一医院乳腺甲状腺外科,重庆 400016
  • 折叠

摘要

甲状旁腺功能增强发病率高,临床表现多样,部分患者以胸闷心悸为主要不适,可能与负钙平衡所致甲状旁腺功能增强相关低钙血症和高钙血症有关.本文报道了一例53岁男性甲状旁腺功能增强患者,确诊骨质疏松后常规剂量补充维生素D和钙剂,出现胸闷心悸等不适,心内科检查未见明显异常,随访仍反复胸闷心悸.经加强补充钙剂1月后,患者胸闷心悸症状完全消失,继续积极补充钙和维生素D,1年后随访病情稳定未复发,各项指标正常.

Abstract

The incidence of parathyroid hyperfunction is high and its clinical manifestations are diverse.Some patients develop chest tightness and palpitations as the main discomfort,which may be caused by the hypocal-cemia and hypercalcemia related to negative calcium balance and parathyroid hyperfunction.We report a case of 53 years old male with parathyroid hyperfunction who was diagnosed with osteoporosis before and received conven-tional regular supplementation of vitamin D and calcium supplements.However,his condition worsened and he de-veloped chest tightness and palpitation.After 1 month of sufficient supplementation of calcium,the symptoms of chest tightness and palpitation disappeared completely.Then we continued to provide the patients enough vitamin D and calcium supplementation actively.After 1 year of follow-up,the patient's condition was stable.His discom-fort of chest tightness and palpitation never recurred,and all the bone metabolism indicators returned to normal.

关键词

骨质疏松症/胸闷/心悸/甲状旁腺功能亢进/甲状旁腺功能增强/甲状旁腺增生

Key words

Osteoporosis/Chest tightness/Palpitation/Hyperparathyroidism/Parathyroid hyper-function/Parathyroid hyperplasia

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出版年

2024
中华内分泌外科杂志
中华医学会

中华内分泌外科杂志

CSTPCD
影响因子:0.657
ISSN:1674-6090
参考文献量5
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