甲状腺结节性疾病伴发高甲状腺素血症个体化的术前准备

Preoperative preparation for thyroid nodular disease concomitant with hyperthyroxinemia

目的 探讨甲状腺结节性疾病伴发高甲状腺素血症个体化术前准备的可行性.方法 对非凸眼甲状腺结节性疾病伴发高甲状腺素血症43例,根据不同的临床表现,分别采用术前传统的用药准备、冲击法用药准备、心得安用药准备,并对其中12例高甲状腺素血症无明显高代谢症状,基础代谢率＜＋20%的病例未作术前用药;观察住院时间、术中、术后并发症发生率.结果 非凸眼甲状腺结节性疾病伴发高甲状腺素血症的43例术中、术后均无甲状腺危象发生,各种术前准备方法的住院时间不同,均无严重并发症发生.结论 甲状腺结节性疾病伴发高甲状腺血症的个体化术前准备是可行的.

Objective To explore the feasibility of individualized preoperative preparation for thyroid nodular disease concomitant with hyperthyroxinemia. Methods According to different clinical manifestations,traditional preoperative medical preparation, impulse preoperative medical preparation and propranolol preoperative medical preparation were respectively made on 43 cases of thyroid nodular disease concomitant with hyperthyroxinemia and without eye proptosis. Preoperative medical preparation wasn＇t performed on 12 eases of hyperthyroxinemia without apparent hypermetabolism and basal metabolic rate less than 20%. Hospitalization time and incidence of intraoperative and postoperative complication were observed and recorded. Results Intraoperative and postoperative thyroid crisis or serious complications didn＇t occur in all 43 cases of thyroid nodular disease concomitant with hyperthyroxinemia and without eye proptosis. Hospitalization time differs for patients with different preoperative preparation. Conclusion It was feasible to make individualized preoperative preparation for thyroid nodular disease concomitant with hyperthyroxinemia.