患者男,57岁,因反复进食后呕吐入院。实验室检查:血Ca~(2+)3.01mmol/L、P0.53mmol/L、ALP269IU/L、BUN7.80mmol/L、Cr397.8μmol/L,考虑为高血钙、继发性肾功能不全行进一步检查,结果血PTH4658.8ng/L,骨矿物质测量提示严重骨质疏松症,B超、CT检查均发现右甲状腺下方软组织肿块,疑来自甲状旁腺。拟诊甲状旁腺腺瘤。 The patient male, 57 years old, admitted to hospital after vomiting after repeated eating. Laboratory examination: Blood Ca 2+ 3.01 mmol/L, P 0.53 mmol/L, ALP 269 IU/L, BUN 7.80 mmol/L, Cr 397.8 μmol/L, considering hypercalcemia, secondary renal insufficiency Further examination showed that blood PTH was 4658.8 ng/L. Bone mineral measurement indicated severe osteoporosis. B-ultrasonography and CT examination revealed that the soft tissue mass under the right thyroid gland was suspected to be from the parathyroid gland. Parathyroid adenomas are to be diagnosed.