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Surgical treatment of 135 cases of primary hyperthyroidism
Author(s): 
Pages: 312-313
Year: Issue:  4
Journal: CHINESE JOURNAL OF GENERAL SURGERY

Keyword:  甲状腺功能亢进/外科学手术后并发症/预防和控制;
Abstract: 回顾性分析138例甲状腺功能亢进症(甲亢)患者行甲状腺大部切除术的临床资料,结果显示:138例甲亢手术患者,135例(97.8%)治愈,3例术后复发,喉上神经和喉返神经损伤各1例,无甲状旁腺损伤和甲状腺危象的发生,无死亡病例,笔者认为:(1)甲亢患者术前充分准备,选择良好的手术时机,对避免甲状腺危象的发生非常重要.(2)直视下紧贴甲状腺上、下极结扎甲状腺上、下动脉及保留甲状腺后包膜的甲状腺大部分切除是避免喉上神经及喉返神经损伤的重要措施.(3)置Y形管负压引流甲状腺创面及床边常规备气切包是有效地防止术后窒息死亡.
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