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老年甲状旁腺功能异常主要见于原发和继发性甲状旁腺功能亢进症(甲旁亢)。老年人中原发甲旁亢以女性患病为多,乏力和骨质疏松为常见症状。注意血钙的筛查,>2.6 mmol/L者检测甲状旁腺激素(PTH)有助于及早发现患者。无手术禁忌、能定位的选择手术治疗能更多获益。老年人继发性甲旁亢主要见于慢性终末期肾脏功能不全需血液透析或腹膜透析的患者,注意检测PTH水平、早期给予适量钙制剂和较大剂量骨化三醇有助于维持血钙和控制PTH水平。
Elderly parathyroid dysfunction mainly seen in primary and secondary hyperparathyroidism (hyperparathyroidism). Primary hyperparathyroidism in elderly patients with more than women, fatigue and osteoporosis are common symptoms. Note that calcium screening,> 2.6 mmol / L of parathyroid hormone (PTH) to help early detection of patients. No surgical contraindications, can choose the positioning of surgical treatment can benefit more. Secondary hyperparathyroidism in the elderly mainly seen in patients with chronic end-stage renal dysfunction requiring hemodialysis or peritoneal dialysis, pay attention to the detection of PTH levels, given early and moderate doses of calcitriol larger doses of calcitriol helps maintain serum calcium and Control PTH level.