PREOPERATIVE TREATMENT OF HYPERTHYROIDISM:EFFECTS OF THYROXINE SUBSTITUTION THERAPY IN 42 PATIENTS_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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Department of General Surgery,First Affiliated Hospital,West China University of Medical Sciences,Chengdu 610041;

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Keywords：

Hyperthyroidism; Preoperative treatment; Substitution therapy

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42 cases of hyperthyroidism had been operated from 1990-1993.In the preoperative treatment,antithyroid drugs were used togather with thyroxine.Some advantages have been observed,which are better than drugs were used togather with thyroxine.Some advantages have been observed,which are better than thoes of the usual preoperative preparaton.①Patient can be prepared to a complete euthyroid state.②The vascularity of the gland can be reduced to a least degree so that the operative risk of bleeding is will small.③The serum thyroid hormone will not be raised,therefore no thyroid crisis occurs.

Citation： Xu Huizhen,Wang Jing,Li Li,et al.. PREOPERATIVE TREATMENT OF HYPERTHYROIDISM:EFFECTS OF THYROXINE SUBSTITUTION THERAPY IN 42 PATIENTS. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1997, 4(2): 100-103. doi: Copy

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1. Buehlmann A.Pathophysiology.New York:Springerverlage,1979:212-216.
2. Reginald H,Michael B.Fundamentals of clinical endocrinology.4th ed.New York:Churchill Livingstone,1989:126-137.
3. Mountcastle VB.Medical physiology.14th ed.London:The C.V. Mosby Comp,1980:1495-1518.
4. Fraser R,Wilkinson M.Simplifield method of drug treatment for thyrotoxicosis.Br Med J,1953;1:481.
5. Bergfelt G,Ljunggren J.Hedber GK.Preoperative treatment of throtoxicosis with antithyroid drugs and thyroxine.J Clin Endocrinol,1961;21:72.
6. Eggen PC,Seljelid R.The histological appearance of hyperfunctioning thyroids following various preoperative treatments.Acta Pathol Microbiol.Scand,1973;81:16.
7. Peter H,Jan M.Surgical treatment of thyrotoxicosis:results of 272 operations with special reference to preoperative treatment with antithyroid drugs an L-thyroxine.Br J Surg,1975;62:683.
8. Adlerberth A.Stenstrom G.The selective β1-blocking agent metoprolol compared with antithyroid drug and thyroxine as preoperative treatment of patients with hyperthyroidism.Ann Surg,1987;205:182.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

PREOPERATIVE TREATMENT OF HYPERTHYROIDISM:EFFECTS OF THYROXINE SUBSTITUTION THERAPY IN 42 PATIENTS

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