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[术后甲状腺危象的预防与治疗]

[Prevention and therapy of postoperative thyrotoxic crisis].

作者信息

Lazăr C, Diaconescu M R, Strat V, Chifan M, Dolinescu C, Luchian S

出版信息

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1976 Mar-Apr;25(2):89-96.

PMID:133398
Abstract

Out of a group of 361 patients with various anatomo-clinical forms of hyperthyroidia--of which 328 had underwent surgery--hospitalized in the Surgical Clinic from Jassy between 1965 and 1974, a total of 17 observations are analised, from the clinical and the therapeutical viewpoint, that showed postoperative thyreotoxicosis crisis. The fact is stressed that the prophylaxis of the crisis is dominated by the principle that no case of hyperthyroidia should be operated on before it has been perfectly balanced from the endocrinological viewpoint. The complex treatment of the cases that are presented included a symptomatic component to which were associated oxygen therapy, tonics, vitamins, hepatotrop preparations, eventually antibiotics. The results obtained--complete recovery in all the cases--can be compared with the best from the literature.

摘要

在1965年至1974年间入住雅西外科诊所的361例患有各种解剖临床类型甲状腺功能亢进症的患者中(其中328例接受了手术),从临床和治疗角度分析了总共17例出现术后甲状腺毒症危象的观察病例。强调了预防危象的主导原则是,任何甲状腺功能亢进症病例在从内分泌学角度达到完美平衡之前都不应进行手术。所呈现病例的综合治疗包括对症治疗部分,同时还采用了氧气疗法、滋补剂、维生素、护肝制剂,必要时使用抗生素。所取得的结果——所有病例均完全康复——可与文献中最佳结果相媲美。

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