[Postoperative acute laryngeal spasm in 1 cases of thyroid cancer]

Thirty-eight years old male patient. Accepted the radical thyroidectomy for thyroid cancer in our department. When surgery was ended, laryngeal spasm occurred during pulling out the tracheal intubation, the quick check of calcium was 1.87 mmol/L, after intravenous injection the calcium gluconate the laryngeal spasm was relieved. After surgery, we gave calcium gluconate intravenously and oral Caltrate D, the patient did not appear the presence of numbness, convulsions and other symptoms. The fasting serum calcium was 2.28 mmol/L and the parathyroid hormone was 18 pg/ml before the patient discharge. In this case, we should be alert to the occurrence of low calcium and laryngeal spasm.