Domestic first endoscopic resection of parathyroid adenoma Nursing.docVIP

 PAGE \* MERGEFORMAT 12 Domestic first endoscopic resection of parathyroid adenoma Nursing [Abstract] In this paper, the first case of endoscopic resection of parathyroid adenoma in patients with nursing experience is summarized. Endoscopic surgical incision is small and hidden, in the incomparable beauty and share the advantages of open surgery, their care experience and measures need to be further developed. [Keywords:] care; parathyroid adenoma; Endoscopic Surgery With the rapid development of medical science and technology, endoscopic surgery has been increasingly widely used in clinical surgery. November 2, 2004, our hospital has successfully conducted the first case endoscopic parathyroid exploration, parathyroid adenoma excision, the patient has been discharged. Nursing now we are presented below. A clinical data 1.1 General information on patients, female, 19 years old, began in February 2001 there was no significant incentive to heel pain in both lower extremities, showing persistent pain, no obvious joint swelling, associated with lower extremity weakness and difficulty squatting, walking pain symptoms after increase, but the rest do not even attack can alleviate the symptoms, no morning stiffness, and abdominal pain, discomfort. The past three years, fatigue symptoms gradually worsened and at the same time consciously iliac bone pain, there walking swing, for the sake of income in our hospital for further diagnosis. Admission to hospital improve the examination, routine blood test showed white blood cell (WBC): 5.99 * 109 / L, hemoglobin (HGB): 89g / L, platelet count (PLT): 288 * 109 / L. Check serum calcium (Ca): 11.5mg/dl, phosphorus (P): 1.4mg/dl, alkaline phosphatase (ALP): 1977u / L. 24h urinary calcium: 431.6mg, urine phosphorus: 690.3mg. Parathyroid hormone (PTH): 1779.0pg/ml. Serum iron (SI): 74 (70 ~ 150) μ g / dl, total iron binding capacity (TIBC): 525μ g/dl (200 ~ 400μ g/dl), transferrin saturation 14% (25% ~ 35%), ferritin