Abdulameer Wadi Laft, Imad Sadeq Mohammed Jawad, Ahmed Thabit Numan
Vol. 7, Jan-Jun 2019
Abstract:
'If 'you 'are 'going 'to 'be 'discharged, 'you 'must 'choose a 'patient with a lower risk of hypocalcaemia. The first day after bilateral 'thyroidectomy. This study investigated the value of the forecast 'Intraoperative 'parathyroid hormone (PTH). 'All or almost all of the 38 patients 'underwent ''thyroidectomy. 'Patients with or without 'biochemical 'substances 'Comparison of intraoperative 'PTH levels with 'previous symptomatic 'hypocalcaemia 'Recommended risk factors. 'Intraoperative PTH predicts the accuracy of postoperative 'high-risk patients hypocalcaemia was compared with a calcium concentration of less than 2.00 mmol / L (8.0 mg / dL). The first day after surgery. PTH level after removal of the second leaf, age and number of parathyroid glands Intraoperative lower serum calcium concentration The lowest point is on the first or second day after surgery. The PTH level after cutting the second leaf is Patients with ''biochemical (P < .001) and symptomatic 'hypocalcaemia (P < .01) 'have a 'reduced 'condition Compared with those who don't. Can determine intraoperative PTH levels in 3 patients Intravenous calcium is required for the first 24 hours after surgery. Intraoperative PTH level Below the reference range and measured 1 day after surgery, the calcium concentration is below 2.00 mmol / L Both predicted biochemical hypocalcaemia with similar sensitivity (92% vs 92%) and specificity (74% vs. 83%). Intraoperative PTH is slightly higher than serum 'calcium 'concentration Symptomatic hypocalcaemia can be predicted by more than 2.00 mmol / L on the 'first 'day 'after 'surgery. The 'sensitivity is 'Specificity 'was '72% 'and '55%, 'respectively.