Rapid Preparation of Hyperthyroid Patients for Thyroidectomy
Autor: | Ozen Oz Gul, Soner Cander, Oguz Kaan Unal, Erdinc Erturk, Turkay Kirdak, Ercan Tuncel, Canan Ersoy, Cevdet Duran, Sinem Kiyici, Sazi Imamoğlu |
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Přispěvatelé: | Uludağ Üniversitesi/Tıp Fakültesi/Endokrinoloji ve Metabolizma Anabilim Dalı., Uludağ Üniversitesi/Tıp Fakültesi/Genel Cerrahi Anabilim Dalı., Kıyıcı, Sinem, Gül, Özen Öz, Cander, Soner, Kırdak, Turkay, Ünal, Oğuz Kaan, Ersoy, Canan, Tuncel, Ercan, Ertürk, Erdinç, İmamoğlu, Sazi, AAJ-6536-2021, AAH-8861-2021, AAI-1005-2021 |
Rok vydání: | 2011 |
Předmět: |
Physics
endocrine system Iodide Lugol's solution Preoperative preparation endocrine system diseases business.industry General Medicine Hyperthyroidism Medicine general & internal Graves-disease Sodium ipodate Thyroidectomy General & internal medicine Nuclear medicine business hormones hormone substitutes and hormone antagonists |
Zdroj: | Turkiye Klinikleri Journal of Medical Sciences. 31:890-895 |
ISSN: | 1300-0292 |
DOI: | 10.5336/medsci.2010-17488 |
Popis: | ABS TRACT Objective: Pre o pe ra ti ve pre pa ra ti on of hyperth yro id pa ti ents is ex tre mely im por tant to avo id comp li ca ti ons du e to se ve re thyro to xi co sis during surgery. We in ves ti ga ted the ef fects of lu gol’s so lu ti on (LS) with or wit ho ut thi o na mi des in the ra pid pre pa ra ti on of the patients for thy ro id sur gery and com pa red the ef fect of LS in pa ti ents with Gra ves’ di se a se (GD) and to xic mul ti no du lar go i ter (TMNG). Material and Met hods: Da ta we re col lec ted ret ros pec ti vely from 44 pa ti ents with hyperth yro i dism who we re fol lo wed up in our cli nic. Twenty-two pa ti ents with GD, 19 pa ti ents with TMNG and three pa ti ents with so li tary to xic ade no ma we re en rol led in to the study. To res to re euth yro i dism be fo re sur gery, 27 pa ti ents we re tre a ted with LS (gro up 1) whi le 17 pa ti ents re ce i ved LS and thi o na mi des (gro up 2). Re sults: Me an da ily to tal do sa ge of LS and du ra ti on of tre at ment to res to re euth yro i dism we re not sta tis ti cally dif fe rent bet we en gro ups 1 and 2. When the two tre at ment gro ups we re com pa red, the re was no sig ni fi cant dif fe ren ce in ba se li ne pa ra me ters and per cen ta ge of chan ges of se rum fT4 and fT3 le vels. Du ra ti on of LS tre at ment and do sa ges of LS and thi o na mi des we re al so si mi lar in pa ti ents with GD and TMNG. Per cen ta ge of chan ges in se rum fT4 and fT3 le vels af ter LS tre at ment we re not sta tis ti cally dif fe rent in two gro ups of pa ti ents. All pa ti ents we re cli ni cally euth yro id be fo re sur gery. Conc lu si on: LS tre at ment, ei t her alo ne or to get her with an tith yro id drugs, is a sa fe and ef fec ti ve cho i ce for the ra pid pre pa ra ti on of hyperth yro id pa ti ents for thyro i dec tomy, in de pen dent from the eti o logy of hyper th yro i dism. |
Databáze: | OpenAIRE |
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