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地塞米松等药物在甲状腺功能亢进围手术期的应用及分析 被引量:10

The perioperative use of steroids including dexamethasone in hyperthyroidism
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摘要 目的分析地塞米松等药物在甲状腺功能亢进(甲亢)患者围手术期的应用。方法分析198例围手术期应用地塞米松等药物的应用方法、不良反应和治疗处理。结果本组术前应用地塞米松后,FT3、FT4均较前显著下降(P〈0.05)。其中,15例出现用药后低血钾性四肢麻痹,2例出现甲亢危象前兆,9例术后出现短暂性口唇和四肢麻木,对症处理后均迅速恢复,余均恢复正常。结论甲亢手术具有较大的难度和危险性,应用地塞米松等药物能缩短术前准备,提高手术成功率,减少术后并发症。 Objective To explore the effects of steroids for hyperthyroidism management during the perioperative period. Methods 198 cases were analyzed in terms of the perioperative use of steroids such as dexamethasone for hyperthyroidism. Results FT3 and FT4 decreased gradually to the normal level after use of dexamethasone. 15 cases had hypokalemie limb paralysis, 2 cases had hyperthyroidism crises, 9 cases had transient numbness of mouth, lip and limb, and the rest resumed normal. Conclusions The use of steroids such as dexamethasone for hyperthyroidism can shorten the preoperative preparation time, improve the success rate, and re- duce postoperative complications.
出处 《中华内分泌外科杂志》 CAS 2011年第4期253-254,共2页 Chinese Journal of Endocrine Surgery
关键词 地塞米松 甲亢 围手术期 Dexamethasone Hyperthyroidism Preoperative preparation
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