儿童甲状旁腺功能减低1例报告并文献复习

发布时间：2018-01-02 16:15

本文关键词：儿童甲状旁腺功能减低1例报告并文献复习　出处：《兰州大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的：提高年轻医师对甲状旁腺功能减退症的认识,降低误诊率。方法：分析1例甲状旁腺功能减低疑似为癫痫合并肌炎患儿的临床资料,并进行文献复习与总结。设计：病例报告。资料：1例9岁女性患儿,病程中主要表现为间断抽搞、全身肌肉疼痛、心悸,综合患儿相关检查,符合甲状旁腺功能减低症诊断。干预措施：初给予积极抗感染、营养肌细胞、能量支持治疗7天,患儿肌酶下降不明显,加用泼尼松继续治疗后肌酶仍高。继续给予改善肌细胞代谢治疗,其心肌酶水平仍未能降至正常。后因反复抽搐第三次入院,给予补钙、活性维生素D3等治疗,病情好转。结果：患儿再无抽搐,心肌酶逐渐降下降,好转出院。结论：甲状旁腺功能减低症是一种发病率很低的内分泌疾病,易被误诊为癫痫,但若能及时发现血清离子的异常,及早行尿离子、PTH测定,并于低血钙纠正后复查脑电图,常可避免延误诊治。
[Abstract]:Objective : To improve the understanding of the hypothyroidism and reduce the misdiagnosis rate . Methods : The clinical data of 1 case with hypothyroid function was analyzed and the literatures were reviewed and summarized . Design : Case Report . Data : A 9 - year - old female patient , mainly characterized by intermittent withdrawal , systemic muscle pain , palpitation , and comprehensive child - related examination , was in accord with the diagnosis of hypoparathymic function . Intervention measures : initial administration of positive anti - infection , nutrition muscle cells , energy support for 7 days , the children ' s muscle enzyme was not obvious , and the muscle enzyme remained high after the treatment with prednisone . The myocardial enzyme level was still not reduced to normal . After the third hospitalization was repeated , calcium supplement and active vitamin D3 were given , and the condition was improved . Results : There was no convulsions in the children , the myocardial enzyme gradually decreased , and the better discharged . Conclusion : Parathyroid function is a kind of endocrine disease with low incidence rate . It is easy to be misdiagnosed as epilepsy . However , if the abnormality of serum ion can be found in time , urinary ion and PTH can be measured early , and the EEG can be checked after low blood calcium correction , so that the diagnosis and treatment can be avoided .

【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R725.8

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