甲状腺手术后低钙血症61例临床分析  

Hypocalcemia after thyroid surgery:a clinical analysis of 61 cases

作　　者：姚坦[1] 

机构地区：[1]安徽省六安市人民医院普外科,安徽六安237005

出　　处：《安徽医药》2008年第7期616-617,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨甲状腺手术后低钙血症的原因及防治办法。方法对382例甲状腺术后病例进行动态监测血清钙的变化。结果甲状腺手术后出现低钙血症61例。有症状低钙血症组血清钙浓度在术后第1、2、3 d较无症状低钙血症组血清钙浓度明显降低(P<0.05)。不同手术方式出现有症状低钙血症的比例之间有显著性差异(P<0.05)。结论有症状低钙血症多发生在术后3 d之内。随手术复杂程度增加出现有症状低钙血症的几率增加。甲状腺术后监测血清钙3 d对于减少低钙症状的发生是必要的。Aim To investigate the etiology and treatment of hypocalcemia after thyroid surgery. Methods The change of serum calcium was analyzed in 382 patients underwent thyroidectomy. Results 61 cases developed hypocalcemia after thyroid surgery. The serum calcium concentrations in symptomatic hypocalcemia group were obviously lower than those in asymptomatic hypocalcemia group on first, second and third postoperative day（P 〈 0.05 ）. The rate of symptomatic hypocalcemia associated with the methods of surgery （ P 〈 0.05 ）. Conclusion Symptomatic hypocalcemia often occurs within 3 days after thyroid surgery. The rate of symptomatic hypocalcemia increased with the difficulty of surgery. It is necessary to monitor the level of serum calcium in three days after thyroid surgery.

关 键 词：甲状腺手术 低钙血症 临床分析 治疗方法 

分 类 号：R653[医药卫生—外科学] R722.12[医药卫生—临床医学]