以恶心呕吐为首发症状的原发性甲状旁腺功能亢进个案报道及文献复习

Primary Hyperparathyroidism with Nausea and Vomiting as Its First Symptom: Case Report and Literature Review

摘要: 目的：探索原发性甲状旁腺功能亢进的临床特征及诊断。方法：回顾性分析1例以恶心呕吐为首发症状的原发性甲状旁腺功能亢进患者临床资料，并进行文献复习。结果：患者临床表现为恶心呕吐伴乏力，偶有心悸憋气等不适，但根据入院后查血电解质、PTH及甲状腺颈部淋巴结彩超，考虑患者为原发性甲状旁腺功能亢进症。结论：原发性甲状旁腺功能亢进早期症状各异，大部分无特异性，临床上误诊、漏诊率高，提高对该病的认识，做到早诊断早治疗是非常有必要的。

Abstract: Objective: To explore the clinical features and diagnosis of primary hyperparathyroidism. Method: The clinical data of a case of primary hyperparathyroidism with nausea and vomiting as the first symptom were retrospectively analyzed and the literature was reviewed. Results: The clinical manifestations of the patients were nausea and vomiting with fatigue, occasional palpitation and breath-holding discomfort. However, according to the blood electrolyte, PTH and color Doppler ultrasound of thyroid neck lymph nodes after admission, the patient was considered to be primary hyperparathyroidism. Conclusion: The early symptoms of primary hyperparathyroidism are different, most of them have no specificity. The rate of misdiagnosis and missed diagnosis is high. It is necessary to improve the understanding of the disease and make early diagnosis and treatment.