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病例资料患者,男,15岁,以“四肢骨痛5年,恶心呕吐1个月”为主诉入院。患者自诉5年前出现活动、劳累后骨痛,以关节及四肢长骨明显,未予诊治。1个月前出现恶心、呕吐、伴反酸、嗳气,就诊于当地医院按“胃肠炎”治疗无好转,因血钙、血甲状旁腺素升高而转入中国医科大学附属第一医院。患者平素有口干、口渴症状,日饮水约2 500 ml,
Case data patients, male, 15 years old, with “limb pain for 5 years, nausea and vomiting for 1 month” as the main complaint hospitalization. Patient self-prosecution occurred 5 years ago activities, fatigue after pain, with joints and limbs long bone was not treated. 1 month ago nausea, vomiting, with acid reflux, belching, visit a local hospital by “gastroenteritis ” treatment did not improve, due to serum calcium, blood parathyroid hormone and transferred to China Medical University Affiliated A hospital Patients usually have dry mouth, thirst symptoms, drinking water about 2 500 ml,