在小儿整体甲状腺切除术后使用和酸的临床方案减少了术后的低血症和住院患者的血液检查
Kung-Ting Kao1, Margaret Zacharin1, Stephen Farrell2
1Department of Endocrinology and Diabetes, The Royal Children's Hospital, Melbourne, Victoria, Australia; Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
概括
一个新的协议显著减少了小儿完全甲状腺切除术后的低血症. 这种使用预防性和醇的标准化方法降低了低水平的发生率,并减少了儿童和青少年的住院血液测试.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 外科手术的结果
- 新陈代谢 的新陈代谢
背景情况:
- 手术后的低血是甲状腺切除术后的常见并发症.
- 接受全甲状腺切除术的儿童和青少年特别容易出现低血症.
研究的目的:
- 为了评估标准化后甲状腺切除术协议的有效性.
- 为了确定预防性和酸醇是否会降低儿科患者的低血症发病率.
主要方法:
- 对接受全甲状腺切除术的儿科患者 (≤18岁) 的回顾性队列研究.
- 基于低血症率,高血症,住院和血液检查的协议前和协议后组的比较.
- 低血症定义为总血清<2.0 mmol/L或电离<0.9 mmol/L.
主要成果:
- 报道称,与报道前组 (54%) 相比,报道后组的低血症发病率显著降低 (13.6%).
- 接受该方案的患者需要较少的住院血液测试 (3.3 vs 5.4).
- 在两组之间,高血症的发病率和住院时间长度相似.
结论:
- 使用预防性和醇的标准化方案有效降低了缺血症和住院患者的血液检查. 儿科全甲状腺切除术后.
- 建议进行进一步的研究,探索手术前补充剂和手术内甲状腺激素监测,以加强风险管理.
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