علاج فرط نشاط الغدة جارة الدرق الأولي مع ارتفاع ملحوظ في كالسيوم المصل — أزمة فرط كالسيوم الدم وعاصفة جارة الدرق

References

DOI: 10.1111/cen.14650

• However, other patients with symptomatic hypercalcaemia with or without organ dysfunction may require urgent medical intervention.
• Hypercalcaemic crisis, acute hyperparathyroidism or parathyroid storm may be induced in a patient with PHPT and intercurrent illness or dehydration, and can result in multiorgan dysfunction.
• 2) restoring fluid/electrolyte balance (3–4 L/24 h normal saline in the absence of contraindications);
• 5) parathyroidectomy once safe to proceed.
• 4) promoting renal calcium excretion and ensuring adequate urine output.