甲状腺毒症患者的围手术期管理：一项系统评价
Perioperative management of the thyrotoxic patients: A systematic review.
作者信息
Terefe Misganew, Belay Bizuneh Yosef, Addisu Nigatu Yonas, Yaregal Melesse Debas
机构信息
Department of Anesthesia, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Anaesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, P. O. Box 196, Ethiopia.
出版信息
Ann Med Surg (Lond). 2022 Aug 28;81:104487. doi: 10.1016/j.amsu.2022.104487. eCollection 2022 Sep.
BACKGROUND
Thyrotoxicosis is a clinical syndrome produced by a multitude of disorders. Thyrotoxicosis is a serious medical condition that, if left untreated, can lead to a fatal illness. This review of recent evidences give additional input for perioperative management of thyrotoxic patients.
METHODS
The literatures were found with Boolean operators in the form of thyrotoxicosis AND anesthesia, antithyroid medications AND perioperative optimization AND beta blockers OR calcium channel blockers in electronic data base sources such as the Cochrane library, PubMed, and Google scholar. This review was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement.
CONCLUSIONS
and recommendations: Before surgery and anesthesia, manifestation of thyrotoxicosis including palpitation, irritability etc should be ruled out.
背景
甲状腺毒症是由多种疾病引起的临床综合征。甲状腺毒症是一种严重的医学病症，若不治疗，可导致致命疾病。本对近期证据的综述为甲状腺毒症患者的围手术期管理提供了更多信息。
方法
在Cochrane图书馆、PubMed和谷歌学术等电子数据库来源中，以甲状腺毒症与麻醉、抗甲状腺药物与围手术期优化以及β受体阻滞剂或钙通道阻滞剂的形式，使用布尔运算符查找文献。本综述按照系统评价和Meta分析的首选报告项目（PRISMA）2020声明进行。
结论与建议
在手术和麻醉前，应排除甲状腺毒症的表现，包括心悸、易怒等。
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