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目的:探讨甲状旁腺功能减退症(甲旁减)长期误诊原因,提高对甲旁减的认识,减少漏诊、误诊。方法:分析6例甲旁减临床资料。结果:误诊为原发性癫痫最多,占一半以上,抑郁症及末梢神经炎各1例,经诊断后均给予钙剂和活性维生素D口服,临床症状消失。结论:血钙、磷的检测应作为癫痫、癔症样发作、末梢神经炎患者的常规检查,尤其是成年人癫痫发作患者除需行头颅CT检查外,一定要注意血钙测定,以免漏诊及误诊。
Objective: To investigate the causes of long-term misdiagnosis of hypoparathyroidism (hypoparathyroidism), to raise awareness of hypoparathyroidism and to reduce misdiagnosis and misdiagnosis. Methods: The clinical data of 6 cases of hypoparathyroidism were analyzed. Results: Misdiagnosed as the most primary epilepsy, accounting for more than half of depression and peripheral neuritis in 1 case, after diagnosis were given calcium and vitamin D oral administration, clinical symptoms disappeared. Conclusion: The detection of serum calcium and phosphorus should be taken as routine examination of patients with epilepsy, hysteria and peripheral neuritis. Especially in patients with adult seizures, the determination of serum calcium should be paid attention to in order to avoid misdiagnosis and misdiagnosis.