甲状腺功能异常患者非甲状腺手术的围手术期管理

Perioperative management of non-thyroid surgery in patients with thyroid dysfunction

甲状腺疾病临床上较常见,非甲状腺手术患者的手术及相关药物的应用可能加重潜在的甲状腺疾病病情,增加围手术期管理难度。目前缺乏甲状腺疾病患者非甲状腺手术的围手术期管理指南或共识。本文主要针对甲状腺功能减退和甲状腺功能亢进患者非甲状腺手术的围手术期管理进行论述,旨在为临床提供治疗建议并降低围手术期并发症的风险。

Thyroid diseases are relatively common in clinical practice.Surgery and use of related drugs may exacerbate the underlying thyroid diseases,increasing the difficulty of perioperative management.However,there is a lack of guidelines and consensus for non-thyroid surgery in patients with thyroid dysfunction.This review mainly summaries the perioperative management of non-thyroid surgery in patients with hypothyroidism and hyperthyroidism to provide clinical treatment suggestions and reduce the risk of perioperative complications.