原发性甲状腺功能亢进症722例外科手术治疗体会  

Experience on surgical treatment of 722 patients with primary hyperthyroidism

作　　者：肖远朝 罗启军[1] 秦开崇[1] 

机构地区：[1]天峨县人民医院外二科,广西547300

出　　处：《中国临床新医学》2012年第7期621-623,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

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B_1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B_1、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。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 hyperthyroid- ism 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 proprano/ol were administered for control of heart rate. The patients were administered intravenously dexamethazone 15 rag/day in the first three days after operation. Results All patients were cured. No hyperthyroidism crisis intraopera- tive and post operative massive hemorrhage were found. No reeeurrence was found during 5 years＇ postoperative fol- low-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.

关 键 词：甲状腺功能亢进症 术前准备 手术 并发症预防 

分 类 号：R581.1[医药卫生—内分泌]