Scanlon E F, Sener S F, Murphy E D
J Surg Oncol. 1985 Aug;29(4):222-3. doi: 10.1002/jso.2930290404.
The most common complication of total thyroidectomy is hypocalcemia. Following thyroidectomy, especially total thyroidectomy, the serum calcium usually falls gradually and patients do not usually require supplementary medication before 24 hours. Two cases of total thyroidectomy are presented in which the preoperative serum calcium levels were normal and hypocalcemic tetany developed in the recovery room immediately after the operation. The hypocalcemia was a temporary phenomenon, and neither patient requires supplementary calcium at the present time. There is no good explanation for this precipitous drop in the serum calcium levels in these two patients.
甲状腺全切除术最常见的并发症是低钙血症。甲状腺切除术后，尤其是甲状腺全切除术后，血清钙通常会逐渐下降，患者通常在24小时之前不需要补充钙剂。本文报告两例甲状腺全切除术病例，术前血清钙水平正常，但术后在恢复室立即发生了低钙性手足抽搐。低钙血症是一种暂时现象，目前这两位患者均不需要补充钙剂。对于这两位患者血清钙水平急剧下降的原因，尚无很好的解释。
