| 摘要: |
| ［摘要］ 目的 探讨甲状腺功能亢进症（甲亢）外科手术治疗的术前准备方法及术后并发症预防。方法 经手术次全切除甲状腺病理检查确诊的722例原发性甲亢患者，术前准备均给予口服他巴唑、卢戈氏液、谷维素、维生素B1治疗，如心率>90次/min、心电图无完全性房室传导阻滞者加服心得安控制心率；术后72 h内每日用0.9%氯化钠100 ml+地塞米松15 mg静脉滴注，连续用3 d，术后不再口服卢戈氏液。结果 722例全部治愈，无一例死亡及甲亢危象发生，无术中、术后大出血。随访5年内，无一例复发。结论 术前口服他巴唑和卢戈氏液及辅以谷维素、维生素B1、心得安做术前准备，术后使用地塞米松能有效预防甲亢术后严重并发症发生。 |
| 关键词: 甲状腺功能亢进症 术前准备 手术 并发症预防 |
| DOI：10.3969/j.issn.1674-3806.2012.07.14 |
| 分类号:R 581.1 |
| 基金项目: |
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| Experience on surgical treatment of 722 patients with primary hyperthyroidism |
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XIAO Yuan-chao, LUO Qi-jun,QIN Kai-chong
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Department of Surgery, the People′s Hospital of Tiane, Guangxi 547300,China
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| Abstract: |
| ［Abstract］ Objective To investigate the preoperative preparation method in the operation of hyperthyroidism and the prevention of its complications.Methods Seven hundred and twenty-two patients with primary hyperthyroidism which were diagnosed by pathology were orally administered methimazole,lugol′s solution and oryzanol, vitamin B1, for the patients with heart rate greater than 90 beats/min and the ECG without complete atrioventricular block propranolol were administered for control of heart rate.The patients were administered intravenously dexamethasone 15 mg/day in the first three days after operation.Results All patients were cured.No hyperthyroidism crisis intraoperative and post operative massive hemorrhage were found.No reccurrence was found during 5 years′ postoperative follow-up.Conclusion Preoperative use of oral methimazol,lugol,s solution oryzanol vitamin B1, propranolol for preoperative preparation and postoperative use of dexamethasone is effective in the prevention of postoperative complications of hyperthyroidism. |
| Key words: Hyperthyroidism Preoperative preparation Operation Complication prevention |
