甲状腺术后呼吸性碱中毒误诊为甲状旁腺损伤1例

发布时间：2018-01-20 08:18

本文关键词： 甲状腺切除术呼吸性碱中毒手术后并发症病例报告　出处：《中国普通外科杂志》2015年05期 　论文类型：期刊论文

【摘要】：正患者女,51岁。因"发现甲状腺包块20年"入院。体检:气管居中,右侧甲状腺II°肿大,可触及2 cm×3 cm大小包块,边界清,质地较硬,随吞咽上下活动。左侧叶可触及1 cm×1 cm包块,边界清,质地中等。彩超:甲状腺多发结节,右侧叶一结节边界欠清,内可见点状强回声,周边及内部见血流信号,不能排除恶变可能。在颈丛麻醉下行手术治疗,术中快速病理诊断为结节性甲状腺肿,行甲状腺次全切除术。术后常规静滴10%葡萄糖酸
[Abstract]:The female patient was 51 years old. She was admitted to hospital because of "finding thyroid mass for 20 years". The examination showed that the trachea was in the middle, the right thyroid gland was enlarged with the size of 2 cm 脳 3 cm, the boundary was clear and the texture was hard. With swallowing up and down, the left lobe could reach 1 cm 脳 1 cm mass, the boundary was clear and the texture was medium. Peripheral and internal blood flow signals can not be ruled out the possibility of malignancy. Under cervical plexus anesthesia surgical treatment intraoperative rapid pathological diagnosis of nodular goiter. Subtotal thyroidectomy. Postoperative routine intravenous infusion of 10% gluconic acid
【作者单位】：中国人民解放军第八十九医院普外二科;山东省潍坊市疾病预防控制中心检验科;
【分类号】：R653
【正文快照】： 261061)患者女,51岁。因“发现甲状腺包块20年”入院。体检:气管居中,右侧甲状腺II°肿大,可触及2 cm×3 cm大小包块,边界清,质地较硬,随吞咽上下活动。左侧叶可触及1 cm×1 cm包块,边界清,质地中等。彩超:甲状腺多发结节,右侧叶一结节边界欠清,内可见点状强回声,周边及内部见

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