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1病例资料患者男性,32岁,因“维持性血液透析5年伴骨关节疼痛3月”入院。患者5年前因“肾衰竭”病因不详开始规律血液透析治疗,每周3次,同时给予控制血压,纠正贫血治疗。3月前患者出现双膝关节酸痛、伴双下肢骨痛、全身皮肤瘙痒,疼痛进行性加重,以至于不能上台阶。1月前查全段甲状旁腺激素(iPTH)2436pg/ml,经口服骨化三醇0.25～1μg/d治疗后症状无好转。复查iPTH2400pg/ml,血红蛋白84g/L,血钙2.59mmol/L,血磷3.53mmol/L。为行甲状旁腺切除术就诊于我院,甲状旁腺B超检查示:右下甲状旁腺1.49×
A case data male patient, 32 years old, due to “maintenance hemodialysis 5 years with bone and joint pain March ” admission. Patients 5 years ago due to “kidney failure ” etiology is unknown regular hemodialysis treatment, 3 times a week, while giving control of blood pressure, to correct anemia treatment. 3 months ago, patients with knee pain, with lower extremity bone pain, systemic skin itching, pain progressive, so that they can not go to the next level. A month ago, check the parathyroid hormone (iPTH) 2436pg / ml, oral calcitriol 0.25 ~ 1μg / d treatment did not improve the symptoms. Review iPTH2400pg / ml, hemoglobin 84g / L, calcium 2.59mmol / L, phosphorus 3.53mmol / L. Parathyroidectomy for treatment in our hospital, parathyroid B-ultrasound showed: lower right parathyroid 1.49 ×