甲状腺功能亢进性心脏病的围术期处理  

Management peri-operatively of hyperthyroidism complicated hyperthyroid heart diseases

作　　者：马德奎[1] 任朝林[2] 吴志扬[1] 冯平[1] 黄擎雄[1] 张美华[2] 

机构地区：[1]广东省肇庆市第一人民医院普通外科,肇庆526021 [2]肇庆医学高等专科学校附属医院外科

出　　处：《临床医学》2007年第12期21-22,共2页Clinical Medicine

摘　　要：目的探讨甲状腺功能亢进(甲亢)性心脏病的围术期处理的方法与效果。方法对98例甲亢性心脏病围手术期的处理措施和效果结合文献进行分析总结。结果98例经充分术前准备和精确的心功能评估达手术要求,再配合术中恰当的麻醉、轻柔快捷的手术、合理的术后处理,本组除1例中止手术外,其余均顺利完成手术,围术期无心血管并发症出现。结论甲亢性心脏病并非甲亢手术的禁忌证,A^B级心功能下进行手术是安全的。Objective To explore the methods and effect of management peri - operatively of hyperthryoid heart diseases. Methods 98 patients with hyperthyroid heart diseases were performed surgical treatnlent, their peri -operative clinical data were reviewed and analyzed. Results 98 cases were prepared adequately before operation and evaluated heart function accurately. All cases were performed operation successfully except one case. No complication about vascular happened during peri - operative term. Conclusion The study shows that hyperthyroidism complicated hyperthyroid heart diseases are not contraindication of operation and it is safe for the patients to perform operation under A - B stage heart fhnction.

关 键 词：甲状腺功能亢进症 甲状腺功能亢进性心脏病 外科治疗 

分 类 号：R654.2[医药卫生—外科学]