肾性继发性甲状旁腺功能亢进症手术治疗的麻醉管理  

Anesthesia in Parathyroidectomy for Secondary Hyperparathyroidism of Chronic Kidney Disease

作　　者：张杨阳 朱波[2] ZHANG Yangyang;ZHU Bo(Graduate School,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Anesthesiology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院研究生院,北京100730 [2]中国医学科学院北京协和医院麻醉科,北京100730

出　　处：《协和医学杂志》2025年第1期171-176,共6页Medical Journal of Peking Union Medical College Hospital

基　　金：中央高水平医院临床科研专项(2022-PUMCH-B-119)。

摘　　要：随着慢性肾脏病患病率的逐年增高,肾性继发性甲状旁腺功能亢进症(secondary hyperparathyroidism,SHPT)的发生率也处于较高水平。SHPT病程初期以内科治疗为主,但约10%的患者最终需行甲状旁腺切除术。此类手术的麻醉过程中需全面考虑原发性疾病、继发性疾病的病理与生理改变及手术因素的影响,因此对麻醉管理要求较高。本文对SHPT病理特点、治疗现状及麻醉要点进行总结,旨在为SHPT患者实施更安全、优质的麻醉管理提供参考依据。With the increasing prevalence of chronic kidney disease,the incidence of renal secondary hyperparathyroidism(SHPT)has also reached a high level.At the beginning of the course of SHPT,medical treatment is the main method,but nearly 10%of patients eventually need to undergo parathyroidectomy.The perioperative management of such operations requires comprehensive consideration of the influence of primary disease,secondary pathophysiological changes and surgical factors,which poses a challenge to anesthesiologists.This article summarizes the pathophysiological characteristics,treatment status and anesthesia points of SHPT,with the aim of providing reference for the implementation of safer and better anesthesia management for SHPT patients.

关 键 词：慢性肾脏病 继发性甲状旁腺功能亢进症 麻醉管理 甲状旁腺切除术 

分 类 号：R692[医药卫生—泌尿科学] R614[医药卫生—外科学]