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首页> 外文期刊>Journal of Veterinary Internal Medicine >Successful Detection and Removal of a Functional Parathyroid Adenoma in a Pony Using Technetium Tc 99m Sestamibi Scintigraphy
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Successful Detection and Removal of a Functional Parathyroid Adenoma in a Pony Using Technetium Tc 99m Sestamibi Scintigraphy

机译：使用Tech 99m Sestamibi闪烁扫描技术成功检测和去除小马中的功能性甲状旁腺腺瘤

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摘要

A 20-year-old, 275-kg, Welsh pony gelding was referred to New Bolton Center for treatment of primary hyperparathyroidism. The horse was diag-nosed with primary hyperparathyroidism based on persistently high total (19.5 mg/dL; reference range 10.8–13.5 mg/dL) and ionized serum calcium (9.36-13.16 mg/dL; reference range 6–7.6 mg/dL) concentra-tions with concurrently increased serum parathyroid hormone (PTH) concentration (Immunoradiometric assaya ) (128.63 pmol/L; reference range 0.60–11.00 pmol/L), and lack of evidence of renal failure (serum creatinine concentration, 1.7 mg/dL; reference range 0.8–2.2 mg/dL). Hypercalcemia was ?rst identi?ed 19 months earlier (total serum calcium concentration, 14.6 mg/dL; reference range 10.4–12.9 mg/dL), but was not accompanied by clinical signs until 3 weeks before presentation when lethargy and inappetence were noted.
机译：一名20岁，体重275公斤的威尔士小马gel胶被送至新博尔顿中心治疗原发性甲状旁腺功能亢进症。根据总量持续偏高（19.5 mg / dL;参考范围10.8–13.5 mg / dL）和离子血钙（9.36-13.16 mg / dL;参考范围6–7.6 mg / dL）对马进行原发性甲状旁腺功能亢进症的诊断。血清甲状旁腺激素（PTH）浓度同时升高（免疫放射分析法a）（128.63 pmol / L;参考范围0.60-11.00 pmol / L），并且缺乏肾衰竭的证据（血清肌酐浓度为1.7 mg / dL）;参考范围0.8–2.2 mg / dL）。高钙血症是在19个月前首次发现的（总血钙浓度为14.6 mg / dL;参考范围为10.4-12.9 mg / dL），但直到出现嗜睡和食欲不振时才出现临床体征，直到出现前3周。

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