[Diagnosis and therapy of hypercalcemic crisis].
Between September 1985 and July 1988 at the Surgical Department of University Mainz 113 patients with primary or tertiary hyperparathyroidismus were operated. In four patients a hypercalcemic crisis developed. At the same time two patients with a hypercalcemia as a metabolic complication of cancer were treated. Within a few hours an involution of the life-threatening symptoms could be achieved by rehydration and diuresis at our intensive care unit. The treatment with mithramycin, calcitonin, a hemodialysis or a phosphate infusion were necessary in none of our patients. Because of the prompt starting of those therapeutical treatments at the intensive care unit no patients died as a result of the hypercalcemic crisis. After ending the hypercalcemic crisis the patients with hyperparathyroidismus were operated. In the patients with a hyperparathyroidismus associated with carcinoma a therapy to lower serum calcium with cortisone and calcitonin was performed.
Wahl
W
W
Junginger
T
T
Beyer
J
J
D000328:Adult; D000368:Aged; D003422:Critical Care; D004630:Emergencies; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology* / Q000628:therapy; D006961:Hyperparathyroidism / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000209:etiology* / Q000628:therapy
Zur Diagnostik und Therapie der hyperkalzämischen Krise.