To strengthen the prevention and treatment of postoperative complications of thyrotoxicosis in secondary hyperparathyroidism patients with end-stage renal disease
10.3760/cma.j.issn.1674-6090.2019.04.001
- VernacularTitle:肾性继发性甲状旁腺功能亢进患者甲状旁腺切除术后并发甲状腺毒症的防治
- Author:
Lingquan KONG
1
;
Baoshan ZOU
;
Hao LI
;
Hongyuan LI
;
Guosheng REN
;
Kainan WU
Author Information
1. 重庆医科大学附属第一医院内分泌乳腺外科 400016
- Keywords:
Secondary hyperparathyroidism;
Parathyroidectomy;
Transient mechanical thyroiditis;
Transient thyrotoxicosis;
Transient hyperthyroxinemia
- From:
Chinese Journal of Endocrine Surgery
2019;13(4):265-268
- CountryChina
- Language:Chinese
-
Abstract:
Chronic kidney disease,especially in patients with end-stage renal disease (ESRD),is prone to causing secondary hyperparathyroidism,and part of refractory secondary hyperparathyroidism patients require treatment with parathyroidectomy.Parathyroidectomy makes the thyroid inevitably subject to mechanical stimulation,leading to transient mechanical thyroiditis,hyperthyroxinemia and postoperative transient thyrotoxicosis,causing dysfunction in multiple systems of the body,and even inducing or aggravating water and electrolyte disorders (such as hyperkalemia),arrhythmia and cardiovascular events.However,this complication has not yet received sufficient clinical attention.This article will discuss the prevention and treatment of thyrotoxicosis or hyperthyroidism,one of the postoperative complications,in secondary hyperparathyroidism patients with ESRD,based on the relevant documents and our own clinical practice.
