血清和离子水平的序列估计,用于在完全/完成甲状腺切除术后早期检测低血症
Nishi Sonkhya1, Shubham Agarwal1, Mahaveer Prasad Choudhary1
1Department of Otorhinolaryngology, SMS Medical College, Jaipur, Rajasthan 302004 India.
概括
甲状腺切除术后的低血是常见的并发症,影响了本研究中的31%的患者. 监测水平和症状有助于早期发现这种频繁,通常是暂时的疾病.
科学领域:
- 内分泌学 在内分泌学.
- 手术并发症 手术并发症
- 新陈代谢 的新陈代谢
背景情况:
- 低血是甲状腺手术后经常出现的并发症,可能导致麻木,和等症状.
- 虽然通常是暂时的,但很少有百分比的患者在甲状腺切除术后经历永久性低血症.
- 低血症的发展是多因素的,需要仔细监测患者.
研究的目的:
- 为了调查甲状腺切除术后低血症的发生率和模式.
- 评估连续水平监测在早期检测中的有效性.
- 为了确定与甲状腺切除术后低血症相关的危险因素.
主要方法:
- 一项为期一年的前性干预研究,涉及42名在第三级护理中心接受甲状腺切除术的患者.
- 血清和离子水平在手术前和手术后6小时,12小时,24小时和48小时被测量.
- 记录和分析了患者报告的症状和低血症的临床迹象.
主要成果:
- 在42名患者中有13名 (31%) 观察到低血症.
- 离子水平呈现逐渐下降,在手术后24小时达到最低点.
- 缺血症的最高发病率 (83.3%) 发生在经过全甲状腺切除术和部剖析的患者中.
结论:
- 甲状腺切除术后的低血是常见的并发症,通常是短暂的.
- 对水平和临床症状的连续监测是早期检测的高效和成本效益的方法.
- 整体甲状腺切除术与部剖析相结合,具有较高的发展低血症的风险.
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