Primary hyperparathyroidism in patients with peri-operative period of observation and nursing care.docVIP

 PAGE \* MERGEFORMAT 10 Primary hyperparathyroidism in patients with peri-operative period of observation and nursing care 【Key Words】 primary hyperparathyroidism Perioperative Nursing Any parathyroid hormone causes the body (parathyroid hormone, PTH) synthesis, secretion of too much, you can place hyperparathyroidism, which itself is a result of parathyroid lesions (tumors and hyperplasia) caused by persons, known as the primary hyperparathyroidism (primary hyperparathyroidism, PHPT). PHPT is a common endocrine disease in Europe and America, since the use of calcium screening, China’s significant increase in the incidence of PHPT, in order of attendance of 0.1% to 0.25% [1], but still reported symptoms of type PHPT mainly , surgical operation is its effective treatment measures. Our hospital from July 2007 to December 2008 were treated two cases of parathyroid adenoma patients, surgical treatment and care through discharged. Are summarized below. A clinical data One patient, female, 44 years old, a result of repeated pain in the left abdominal distention in a year, physical examination found that elevated serum calcium 1 month hospitalization; the other patients, female, 47 years old, due to dry mouth, anorexia, fatigue 2 more than a month income to live admission. 2 cases of patients with laboratory tests: serum calcium 2.81 ~ 3.98mmol / L (normal 2.08 ~ 2.60mmol / L), parathyroid hormone (PTH) 191.00 ~ 253.05pg/ml (normal 12 ~ 72pg/ml). ECT examinations are Tip: parathyroid right lobe of the lower pole-positive foci exist, parathyroid adenoma consideration. Improve the preoperative examination of the anesthesia after the resection of parathyroid adenoma. The Department of Pathological examination confirmed the parathyroid adenoma. 2 patients suffered from postoperative hypocalcemia by calcium treatment, serum calcium gradually returned to normal, patient 1 ~ 2 weeks were discharged. 2 Care 2.1 Preoperative Care 2.