甲状腺癌患者术后并发症的护理

目的探讨甲状腺癌术后并发症的护理方法。方法 2013年4月至2014年4月间收治的甲状腺癌手术患者56例,术后密切观察并发症并予以针对性护理,统计并发症分布情况,总结护理方法。结果所有患者均完成手术,无死亡病例,术后并发症发生率为19.6%(11/56),其中喉返神经(RLN)损伤3例,因出血压迫呼吸困难2例,窒息1例,因低钙血症手足抽搐1例,乳糜瘘1例,甲状旁腺损伤2例,甲状腺危象1例。经护理干预,所有并发症患者均未遗留永久性损伤。结论甲状腺癌患者术后容易发生RLN损伤、呼吸困难、手足抽搐、甲状旁腺损伤等并发症,及时予以合理的护理措施可修复并发症,提高预后。

Research on nursing methods of postoperative complications in patients with thyroid cancer

Objective To study nursing methods of postoperative complications in patients with thyroid cancer.Methods Fifty-six patients with thyroid cancer who received operation in People’s Liberation Army General Hospital from April 2013 to April 2014 were selected.Complications were observed with targeted treatments.Distribution of complications was calculated and nursing methods were summarized.Results All patients completed the operation,without no cases dead.Postoperative complication rate was19.6%（11 /56）,including 3 cases of recurrent laryngeal nerve（RLN） injury,2 cases with breathing difficulties due to bleeding oppression,1 case of asphyxia,1 case of tetany due to hypocalcaemia,1 case of chylous fistula,1 case of parathyroid damage,and 1 case of thyroid storm.No permanent damages were left after nursing interventions.Conclusion RLN injury,breathing difficulty,tetany,and parathyroid damage are common postoperative complications for thyroid cancer.Timely and reasonable nursing methods will repair the complications and develop prognosis.