Makoveĭ V I, Osipov S A, Makoveĭ P I
Anesteziol Reanimatol. 2002 May-Jun(3):24-7.
Surgery on the thyroid has been extensively developing in recent decades. All organs and systems are involved in thyrotoxicosis, but cardiovascular involvement predominates. We evaluated the preoperative treatment and choice of optimal anesthesia for interventions on the thyroid. Preoperative treatment modified the central hemodynamic parameters and levels of thyroid and adrenocortical hormones in the blood, which should be borne in mind during preparations of patients to surgery. Central hemodynamic parameters and hormonal profiles during the intervention depended on the variants of preoperative treatment and anesthesia.
近几十年来,甲状腺手术一直在广泛发展。甲状腺毒症累及所有器官和系统,但以心血管受累为主。我们评估了甲状腺手术的术前治疗及最佳麻醉方式的选择。术前治疗改变了中心血流动力学参数以及血液中甲状腺激素和肾上腺皮质激素的水平,在患者手术准备过程中应牢记这一点。手术过程中的中心血流动力学参数和激素水平取决于术前治疗和麻醉的方式。