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原発性上皮小体機能亢進症に伴う高Ca血症クリーゼ4症例の経験
http://hdl.handle.net/10091/9265
86c861a7-253c-4d67-8d65-ced54586f5ae
名前 / ファイル | ライセンス | アクション | |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-03-24 | |||||
タイトル | ||||||
タイトル | 原発性上皮小体機能亢進症に伴う高Ca血症クリーゼ4症例の経験 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | primary hyperparathyroidism | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | hypercalcemia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | crisis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 原発性上皮小体機能亢進症 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 高カルシウム血症 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | クリーゼ | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
その他(別言語等)のタイトル | ||||||
その他のタイトル | Four Cases of Hypercalcemic Crisis Due to Primary Hyperparathyroidism | |||||
著者 |
瀬戸, 達一郎
× 瀬戸, 達一郎× 小林, 信や× 藤森, 実× 麻沼, 和彦× 新宮, 聖士× 浜, 善久× 丸山, 正幸× 天野, 純× 橋爪, 潔志 |
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出版者 | ||||||
出版者 | 信州医学会 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 信州医学雑誌 47(6): 497-503(1999) | |||||
書誌情報 |
信州医学雑誌 巻 47, 号 6, p. 497-503, 発行日 1999-12-10 |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Although primary hyperparathyroidism is not a rare condition, cases of hypercalcemic crisis are rare, often leading to death and requiring emergency operation.We examined 231 patients with hyperparathyroidism treated at the Department of Surgery,Shinshu University School of Medicine,up to December 1998,focusing especially on those patients who experienced hypercalcemic crisis. Of the 231, 13 patients (5.6%) required preoperative treatment and 8 (3.5%)presented a hypercalcemic crisis. These patients were rehydrated with normal saline and administered furosemide and calcitonin. Recently we have used bisphosphonate. Although we were able to decrease serum calcium levels in these patients,their clinical symptoms did not improve and surgical treatment was needed. Thus we consider it a general rule that if the patient shows no improvement in his or her clinical symptoms despite a few days of medical treatment, surgery is called for. Patients whose serum calcium level is 14mg/dl or more should be treated to decrease serum calcium level prior to operation. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0037-3826 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00120815 |