[摘要] 目的：探讨甲状腺功能亢进症围术期的治疗，降低严重并发症的发生率。方法：回顾性分析本院2008年1月～2010年12月收治入院的80例经内科治疗无效甲状腺功能亢进症患者，给予完善检查，术前准备，行甲状腺次全切除术后进行资料分析。结果：80例患者术后出血1例，喉上神经分支损伤2例，喉返神经损伤1例，引起四肢抽搐4例。75例治愈，4例复发，1例死亡，无甲状腺危象及声音嘶哑。结论：术前完善准备，术中精心操作，配合用药，可减少和避免并发症的发生。

    [关键词] 甲状腺功能亢进症；围术期；处理；并发症

    [中图分类号] R581[文献标识码]A[文章编号]1674-4721(2011)05(c)-024-02

    Thyroid treatment and prevention of complications of surgical

    ZHENG Hongwei

    Department of Outside the Three Subjects, Xinmi City, Zheng Coal Group Company′s Total Hospital, Henan Province, Xinmi 452371, China

    [Abstract] Objective: To investigate the perioperative treatment of hyperthyroidism and reduce the incidence of complications. Methods: To retrospective analysis of our hospital from January 2008 -December 2010 admitted to hospital, 80 patients with medical therapy in patients with hyperthyroidism, giving complete examination, preoperative preparation, subtotal thyroidectomy after data analyzed. Results: 80 patients, one case of postoperative bleeding, laryngeal nerves injury in 2 cases, recurrent laryngeal nerve injury in 1 case, causing the limbs twitch in 4 cases. 75 cases were cured, 4 cases of recurrence, 1 patient died, without thyroid crisis and a hoarse voice. Conclusion: The perfect preparation before surgery, intraoperative careful operation, with medication, can reduce and avoid complications. ......