腔镜下原发性甲亢腺叶切除术对甲状腺素的影响
腔镜,,甲状腺素；麻醉全身；二氧化碳；原发性甲状腺机能亢进,1临床资料,2麻醉及手术方法,3结果,4讨论,参考文献：
【摘要】目的：研究腔镜下甲亢腺叶切除术对血浆甲状腺素的影响。方法：9例全麻下行腔镜下原发性甲亢腺叶切除术，分别于术前，术中不同时间及术后1周采血，用放射免疫法测定血浆甲状腺素(TT3，TT4，TSH)。结果：9例术前TT3，TT4均高于正常值。腔镜手术开始后，TT3，TT4，TSH显著升高(P<0.05)，但全麻下患者MAP，HR显著低于术前(P<0.05)并保持平稳。结论：较深的全身麻醉降低代谢水平，保障甲亢患者用腔镜手术时的安全。【关键词】 甲状腺素；麻醉全身；二氧化碳；原发性甲状腺机能亢进
The effect of laparoscopy of removal of the thyroid gland on plasma thyroxine concentration in Graves' disease
YANG Xiulin,LI Bin TAN Jian.
CDepartment of Anesthesiology,Dunyun City 414 Hospital,Dunyun Guizhou,558004,China
【Abstract】Objective: To study the effect of laparoscopy of removal of the thyroid gland on plasma thyroxine concentrarion.Methods: 9 Nine patients undergoing general anesthesia and laparoscopy of removal of the thyroid gland.Blood samples were drawn before operation,given time intervals during operation and 1 week after the operation to determine the concentration of plasma TT3,TT4,TSH.Results:All patients,the levels of TT3,TT4 rank above normal value before operation,the levels of TT3,TT4,TSH were significantly increased after operation(P<0.05).but undergoing general anesthesia,the MAP,HR significantly decreased(P<0.05) and remained stable.Conclusions: The general anesthesia can debase metabolism,This assured Graves' disease safety during laparoscopy of removal of the thyroid gland. ......
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