腔镜下原发性甲亢腺叶切除术对血浆甲状腺素的影响
腔镜,,甲状腺素；全身麻醉；二氧化碳；原发性甲状腺机能亢进,1资料与方法,2结果,3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，可保障甲亢患者腔镜手术时的安全。【关键词】 甲状腺素；全身麻醉；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.
Dept.of Anesthesiology,Duyun City 414 Hospital,Duyun 558004,China
【Abstract】 Objective:To study the effect of laparoscopy of removal of the thyroid gland on plasma thyroxine concentrarion.Methods:9 patients underwent general anesthesia and laparoscopy of removal of the thyroid gland were analysized.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:In all patients,the levels of TT3,TT4 rank were above normal value before operation,the levels of TT3,TT4,TSH increased significantly after operation(P<0.05).But with general anesthesia,the MAP,HR significantly decreased(P<0.05) and remained stable.Conclusions: The general anesthesia can debase metabolism,which assures the safety during laparoscopy of removal of the thyroid gland. ......
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