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由于二次性副甲状腺功能过高,自发出血来自功能良好,未扩大但过度增生的副甲状腺:一个病例报告

Daisuke Honda¹, Isao Ohsawa², Fuminori Nomura³

¹Department of Nephrology, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba-shi, Chiba, 260-8677, Japan. dhonda@chiba-u.jp.

CEN case reports

|January 20, 2026

概括

严重的副甲状腺腺出血可能发生在患有二次性副甲状腺功能障碍症 (SHPT) 的患者中,即使SHPT得到良好控制并且腺体没有膨胀. 定期的超声波检查对于监测SHPT患者至关重要.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
内分泌学在内分泌学.
手术病理学手术病理学

背景情况:

慢性病中的二次性甲状腺功能障碍症 (SHPT) 通常会导致甲状腺腺增生.
扩大的副甲状腺的破裂可能会导致自发的宫出血,通常是不受控制的SHPT.
危及生命的副甲状腺出血是罕见的,特别是在功能控制的SHPT.

研究的目的:

报告一种罕见的副甲状腺自发出血的病例,该病例发生在血液透析患者中,该患者的SHPT控制良好.
要强调的是,副甲状腺出血甚至可以发生在非扩大的,超塑性腺体中.
强调对SHPT患者定期进行副甲状腺评估的重要性.

主要方法:

一个40岁的男性12年来一直接受血液透析的案例报告.
临床表现:宫突然胀和疼痛.
诊断成像:用于血液瘤和质量识别的计算机断层扫描 (CT).
干预:紧急手术切除出血的副甲状腺.
切除的组织的病理检查.

主要成果:

患者出现了自发的,危及生命的宫出血.
扫描显示出显著的血瘤和质量暗示副甲状腺出血.
手术证实出血来自一个7毫米的,非扩大的,超的右下侧甲状腺.
病理学证实了副甲状腺组织的过度增生和出血.

结论:

在功能控制的SHPT中,可能发生严重的副甲状腺出血,而非扩大的,超塑性腺体.
这一事件可能与甲状腺侧腺细胞生长和血液供应之间的不平衡有关.
对于SHPT患者,建议定期对甲状腺腺和血流进行超声波监测.

关键词:

慢性脏疾病慢性脏疾病深度子宫血瘤是什么意思过度增生症过度增生症副甲状腺腺出血副甲状腺出血甲状腺上腺激素激素的作用二次性副甲状腺功能障碍症是什么

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