Perioperative nursing care of 25 patients underwent total parathyroidectomy with forearm autograft
10.3761/j.issn.0254-1769.2018.03.013
- VernacularTitle:25例甲状旁腺全切加前臂自体移植患者的围手术期护理
- Author:
Fengying DENG
1
;
Xiangjun LUO
;
Song WANG
;
Rong XIONG
;
Min ZHU
;
Na LIANG
Author Information
1. 421002,湖南省衡阳市 南华大学附属南华医院肾内血透室
- Keywords:
Total Parathyroidectomy with Forearm Autograft Transplantation;
Perioperative Care;
Nursing Care
- From:
Chinese Journal of Nursing
2018;53(3):314-317
- CountryChina
- Language:Chinese
-
Abstract:
To summarize key points of nursing care of 25 patients with secondary hyperparathyroidism underwent parathyroid autotransplantation with forearm (tPTX+AT).The integrated mode was adopted during the perioperative period,focusing on the following key points:perioperative management of environment,nursing of vascular access,intro-operative management of sample,nursing management during anesthesia and recovery,management of drawing blood,treatment and nursing care of postoperative hypocalcemia,prevention and nursing care of infection and hemorrhage,wound care in the forearm and monitoring of graft.Compared with the preoperative period,levels of intact parathyroid hormone(iPTH),calcium and phosphorus were significantly decreased during the postoperative period (P＜0.01);symptoms were significantly improved after surgery included bone and joint pain,muscular weakness,and insomnia.
