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本文报告该院1980年至今所作甲亢病人316例的外科治疗情况,其中男95例,女221例,原发性甲亢254例,继发性甲亢62例。结果表明:术前准备用抗甲状腺药物加碘剂加心得安为好。保留腺体,原发性甲亢6~8克,继发性甲亢10~12克。术中不主张结扎甲状腺下动脉及解剖喉返神经。以半管引流为好,而且要保持负压和通畅。手术近期并发症15例,经对症处理均治愈或自行恢复,全组病例无死亡。
This article reports the hospital from 1980 to date in the surgical treatment of 316 cases of hyperthyroidism patients, including 95 males and 221 females, 254 cases of primary hyperthyroidism, 62 cases of secondary hyperthyroidism. The results showed that: preoperative preparation with anti-thyroid drugs iodine plus propranolol as well. Retained glands, primary hyperthyroidism 6 to 8 grams, secondary hyperthyroidism 10 to 12 grams. Surgery does not advocate ligation of the thyroid artery and anatomy recurrent laryngeal nerve. Half tube drainage as well, but also to maintain negative pressure and smooth. 15 cases of recent complications of surgery, the symptomatic treatment were cured or self-recovery, no deaths in all cases.