【摘 要】甲状腺癌是头颈外科最常见的恶性肿瘤，手术是治疗该病的首选治疗方式，甲状腺全切除+颈部淋巴结清扫术是甲状腺癌重要的治疗手段，但也会导致术后出血、神经损伤、淋巴漏、永久性甲状旁腺功能低下等各种并发症，不同程度地影响病人的康复、生活质量，甚至威胁生命。应用持续术中神经监测技术(C-IONM)通过自动周期性刺激 (APS)电极对迷走神经持续刺激，在整个手术过程中监测喉返神经的功能，协助术者及早识别并避免可能导致喉返神经损伤，同时圍手术期密切观察病情，精心护理，规避并发症的发生。

    

【关键词】神经探测仪;监测;甲状腺癌;淋巴结清扫术;并发症

    

【中图分类号】R269 【文献标识码】A 【文章编号】1004-7484(2020)09-0211-02

    Perioperative nursing care of a case of thyroid cancer with lymphadenectomy monitored by nerve detector

    

【Abstract】Thyroid cancer is the most common malignant tumor in head and neck surgery. Operation is the first choice for the treatment of this disease. Total thyroidectomy + neck lymph node dissection is an important treatment for thyroid cancer ......