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甲状腺切除术

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ID: ANH12081chis
医学动画文字记录:如果你的甲状腺出现问题,医生将会建议你进行甲状腺切除术。甲状腺位于喉上方,包裹着气管。可以直接分泌甲状腺激素至血液中。身体会利用甲状腺激素来增加能量并在必要时升高体温。例如,当人体受到寒冷刺激时,就会通过分泌甲状腺激素来防止热量的散失。当你确诊了甲状腺癌、甲状腺肿、良性结节、囊肿或甲状腺功能过度活跃时,医生可能会建议你进行甲状腺切除术。手术前要建立静脉通路。可能会通过静脉给予抗生素以减少感染发生。术前要进行全身麻醉。经口腔进行气管插管至喉下,维持术中呼吸。手术开始后,医生将在你的颈部做一个小的水平切口。根据你进行手术的病因,医生将选择切除单叶甲状腺或是整个腺体。手术时,医生可能会在你的切口处放置一根引流管,用来引流出多余的液体,这根引流管可能会留置1~2天。手术结束时,医生会用缝线、缝合钉、手术粘合剂或封闭式敷料胶带关闭切口。手术完成后,医生会拔除气管插管,并将你送至恢复室(手术后的特别病房)进行监护。医生会检查你喉部的损伤情况,并根据需要静脉注射止痛药,或者继续注射抗生素。大多数患者在术后1~2天即可出院。出院时,医生可能会为你开具钙补充剂。如果你的整个腺体都被切除,则需要每天服用甲状腺激素替代药物。

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