Department of Otolaryngology Head and Neck Surgery, Beijing Shijitan Hospital Affiliated to Capital Medical University, Beijing, China.
Biomed Res Int. 2020 Feb 20;2020:6946048. doi: 10.1155/2020/6946048. eCollection 2020.
The aim of this study was to summarize the perioperative nursing care of patients with recurrent parathyroid carcinoma.
A retrospective analysis of 10 patients with recurrent parathyroid carcinoma was performed. The clinical data, diagnosis, treatment process, and nursing process (including clinical nursing intervention of various complications) were analyzed. The nursing experience and methods were discussed, summarized, and analyzed.
A total of 10 patients were reviewed (male : female 7 : 3; aged 48.6 ± 14.60 years). The mean interval between the initial operation and reoperation was 2.23 ± 1.65 years. The mean number of operations was 4.00 ± 1.41. Invasion of the trachea or esophagus was evident in 7 patients, larynx in 6 patients, recurrent laryngeal nerve in 1 patient, and cyclic cartilage in 2 patients. Serum calcium range was 3.20-4.68 mmol/L, and parathyroid hormone (PTH) range was 860-2830 pg/ml at admission. 6 patients underwent prophylactic tracheostomy, 2 patients underwent partial laryngectomy, and 2 patients underwent total laryngectomy. 1 patient experienced temporary water-electrolyte disorder and hypoproteinemia. The median serum calcium was 2.28 mmol/L (1.66-3.18 mmol/L) and median PTH level was 82.60 pg/ml (63.70-900.00 pg/ml) postoperatively. Serum PTH and calcium were still higher than the upper limit of normal in 2 patients after surgery. 2 of the other 8 patients relapsed within 8-11 months, and 6 patients remained normal for 11-40 months.
For patients with reoperation of recurrent parathyroid carcinoma, high-quality, reasonable, and careful perioperative nursing ensured a successful operation and optimized outcome.
总结复发性甲状旁腺癌患者的围手术期护理。
回顾性分析 10 例复发性甲状旁腺癌患者的临床资料，对其诊断、治疗过程及护理过程（包括各种并发症的临床护理干预）进行分析，总结护理经验及方法。
共 10 例患者接受了回顾性分析（男：女 7：3；年龄 48.6±14.60 岁）。初次手术至再次手术的平均间隔时间为 2.23±1.65 年，平均手术次数为 4.00±1.41 次。7 例患者存在气管或食管侵犯，6 例患者存在喉侵犯，1 例患者存在喉返神经侵犯，2 例患者存在环状软骨侵犯。入院时血清钙范围为 3.20-4.68mmol/L，甲状旁腺激素（PTH）范围为 860-2830pg/ml。6 例患者预防性行气管切开术，2 例患者行部分喉切除术，2 例患者行全喉切除术。1 例患者出现暂时性水、电解质紊乱和低蛋白血症。术后中位血清钙为 2.28mmol/L（1.66-3.18mmol/L），中位 PTH 水平为 82.60pg/ml（63.70-900.00pg/ml）。术后 2 例患者的血清 PTH 和钙仍高于正常值上限，8 例患者中的 2 例在 8-11 个月内复发，6 例患者在 11-40 个月内保持正常。
对于复发性甲状旁腺癌患者再次手术，高质量、合理、精心的围手术期护理确保了手术的成功和优化的结果。
