术前和术后口服钙及维生素D补充剂在预防全甲状腺切除术后低钙血症中的作用。
Role of pre and post-operative oral calcium and vitamin D supplements in prevention of hypocalcemia after total thyroidectomy.
作者信息
Docimo G, Tolone S, Pasquali D, Conzo G, D'Alessandro A, Casalino G, Gili S, Brusciano L, Gubitosi A, Del Genio G, Ruggiero R, Docimo L
机构信息
Second University of Napoli, Napoli, Italy.
出版信息
G Chir. 2012 Nov-Dec;33(11-12):374-8.
AIM
to evaluate the role of pre and post-operative oral calcium and vitamin D supplements in prevention of hypocalcemia after total thyroidectomy.
PATIENTS AND METHODS
50 consecutive patients, undergoing total thyroidectomy, were enrolled. Oral calcium and vitamin D were administered in the pre and post-operative time. The data concerning symptomatic and laboratoristic hypocalcemia were collected.
RESULTS
Incidence of symptomatic hypocalcemia was very low (6%); incidence of laboratoristic hypocalcemia was 10%. No permanent hypocalcemia developed.
CONCLUSIONS
Implementing oral calcium and vitamin D both before and after total thyroidectomy can reduce the incidence of hypocalcemia related to surgery.
目的
评估术前及术后口服钙和维生素D补充剂在预防全甲状腺切除术后低钙血症中的作用。
患者与方法
纳入50例连续接受全甲状腺切除术的患者。在术前及术后给予口服钙和维生素D。收集有关症状性及实验室检查发现的低钙血症的数据。
结果
症状性低钙血症的发生率非常低（6%）；实验室检查发现的低钙血症发生率为10%。未发生永久性低钙血症。
结论
在全甲状腺切除术前及术后应用口服钙和维生素D可降低手术相关低钙血症的发生率。
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