Hysteria of tetany after thyroid misdiagnosed as parathyroid injury report of 5 cases.docVIP

 PAGE \* MERGEFORMAT 11 Hysteria of tetany after thyroid misdiagnosed as parathyroid injury report of 5 cases Keywords:: thyroid surgery; complications; parathyroid injury; Tetany; hysteria; psychological 【Abstract】 Objective clinical experience, to improve the diagnosis and treatment. Sum up our hospital from April 1992 to June 1998 period of five cases of thyroid surgery hysteric convulsions clinical data. Results 5 patients were females, preoperative serum calcium, phosphorus levels were normal, no history of epilepsy. 4 routine thyroid isthmus increases lateral lobe resection, a routine thyrohyoid cystectomy. 4 cases after 1 hour and 50 minutes to 3 hours and 20 minutes sudden tetany. 1 case occurred after 5 hours and 25 minutes beyond the wrist numbness. Palpation: Chvostek’s sign and Troussetau’s sign was negative Jicha serum calcium, phosphorus and PTH levels were normal, intravenous calcium is invalid. Conclusion thyroid surgery appears tetany, as calcium is invalid, you should consider the possibility of hysteria. Its characteristics are: women, with a certain amount of cultural knowledge, early onset, serum calcium, phosphorus and PTH to normal, intravenous calcium is invalid, need to use psychological allusions and sedative treatment. HYSTERICAL CONVULSION AFTER THYROIDECTOMY MISTAKEN FOR PARATHYROID INJURY (REPORT OF 5 CASES) ▲ Our hospital from April 1992 to June 1998 period, there were five cases of thyroid surgery misdiagnosed as hysteric tetany parathyroid injury, after retrieving the past 10 years, has not been reported. These are as follows. A clinical data Case of a woman, 35 years old, graduated from college, because the right neck mass in a year hospitalized. Examination: the lower right lobe of the thyroid gland were palpable at about a 2.5 cm × 2.5 cm × 2.5 cm mass, quality, the boundaries clear, activity. Left lobe is not, no palpable neck lymph nodes. 131I thyroid scan shows mass of