大连医科大学学报
大連醫科大學學報
대련의과대학학보
JOURNAL OF DALIAN MEDICAL UNIVERSITY
2013年
6期
614-618,620
,共6页
孙萍%蔡振刚%牟国煜%孙默萱%宫佳宁%张宇%郑晓明%王洪江
孫萍%蔡振剛%牟國煜%孫默萱%宮佳寧%張宇%鄭曉明%王洪江
손평%채진강%모국욱%손묵훤%궁가저%장우%정효명%왕홍강
甲状腺手术%甲状旁腺%低钙血症%预防
甲狀腺手術%甲狀徬腺%低鈣血癥%預防
갑상선수술%갑상방선%저개혈증%예방
thyroidectomy%parathyroid gland%hypocalcemia%prevention
低钙血症是甲状腺全切除或多次甲状腺手术患者的术后并发症之一,其原因主要与手术操作过程中甲状旁腺的误切及血运障碍有关。临床上根据不同的术式、具体的术中情况,选择显露甲状旁腺或尽可能地保留旁腺。为预防术后低钙血症的发生本文推荐术后常规补充钙剂及维生素D制剂。而对于发生低钙血症的患者,根据具体情况采取对症处理及对因处理,以期避免或减少预后低钙血症的发生。
低鈣血癥是甲狀腺全切除或多次甲狀腺手術患者的術後併髮癥之一,其原因主要與手術操作過程中甲狀徬腺的誤切及血運障礙有關。臨床上根據不同的術式、具體的術中情況,選擇顯露甲狀徬腺或儘可能地保留徬腺。為預防術後低鈣血癥的髮生本文推薦術後常規補充鈣劑及維生素D製劑。而對于髮生低鈣血癥的患者,根據具體情況採取對癥處理及對因處理,以期避免或減少預後低鈣血癥的髮生。
저개혈증시갑상선전절제혹다차갑상선수술환자적술후병발증지일,기원인주요여수술조작과정중갑상방선적오절급혈운장애유관。림상상근거불동적술식、구체적술중정황,선택현로갑상방선혹진가능지보류방선。위예방술후저개혈증적발생본문추천술후상규보충개제급유생소D제제。이대우발생저개혈증적환자,근거구체정황채취대증처리급대인처리,이기피면혹감소예후저개혈증적발생。
Hypocalcemia is one of the complications of total thyroidectomy or repeatedly thyroid surgeries .The reason mainly is that the parathyroid gland is removed by mistake and hemodynamic disorder of the parathyroid gland during sur -gery.According to different surgical methods and specific situations during surgeries , surgeons may revealed the parathyroid gland or reserve the parathyroid gland possibly .In order to prevent the occur of hypocalcemia , we recommend the supple-ment of calcium and vitamin D 3 after the surgery .For the patients who get hypocalcemia we can take symptomatic treatment or etiological treatment according to the specific situations , viewing to avoid or reduce the occurrence of hypocalcemia .