甲状腺次全切除术(国外英文资料).docVIP

甲状腺次全切除术 The thyroidectomy [indication] Hyperthyroidism (including primary and secondary hyperthyroidism). A single pure goiter, a large lump, which produces an oppressing symptom. Multiple thyroid adenomas, large thyroid adenomas, or large cysts. [contraindications] Small age, mild disease, and an enlarged thyroid gland. Age large, combined with severe heart, liver, kidney, etc. [preoperative preparation] 1. Patients with hyperthyroidism, must be in internal medicine anti-thyroid medication, basal metabolic rate dropped to normal or near normal (+ 15%), pulse frequency under 90 times/min, stop taking anti-thyroid drugs, two weeks or so, take compound iodine, harden that thyroid significantly reduces, easy operation and reduce the rate of intraoperative bleeding. Specific methods for oral compound iodine liquid (Lugol liquid), 3 times a day, every time 1 day 5 drops, 6 drops every time the next day, after increasing day by day 1 drop, until to 15 drops every time, keep 3 ~ 5 surgery in the future. In recent years, some people have advocated the preparation of the patient and the compound iodine, which can be treated with a dose of 10 to 40mg every six hours, depending on the severity of the condition. This will shorten the preparation time. The use of sedative medications may be used for insomnia or sleep insecurity, which may be used in either a lumi 0.1 g or a stable 5mg per night. 3. The necessary preoperative examination and examination of liver and kidneys, such as cardiovascular function determination, basal metabolism laryngoscopy vocal cord function, X-ray tube location and determination of blood calcium and phosphorus. [anesthesia] The endotracheal intubation is anaesthetic to ensure the airway in the airway. [surgical procedure] Position on the back of your shoulders, and your head back up to reveal your neck. A small sandbag is fixed on both sides of the head to prevent the movement of the contamination in the head. The incision is made in the upper part