Uloga mjerenja koncentracije paratireoidnoga hormona u ranom poslijeoperacijskom otkrivanju hipokalcemije nakon operacija štitnjače (CROSBI ID 442631)
Ocjenski rad | doktorska disertacija
Podaci o odgovornosti
Curić Radivojević, Renata
Prgomet, Drago
hrvatski
Uloga mjerenja koncentracije paratireoidnoga hormona u ranom poslijeoperacijskom otkrivanju hipokalcemije nakon operacija štitnjače
Actual treatment of thyroid diseasse is well established in world community, with a acceptable rate of complications after the surgery. Still, postoperative hypocalcaemia is a major cornstone in one day surgery, and the protocols for the treatment and follow-up are not unique. The role of PTH is very controversal, and in the literature there are many ways of its use. Monitoring for hypocalcemia after thyroidectomy, using only symptoms and serum or ionized calcium levels, can delay the discharge of patients who will remain normocalcaemic and the treatment of hypocalcaemic patients. For these reasons, a prospective study was designed that included 119 patients operated at University Clinical Centre Zagreb at the Department of otorhinolaryngology and Head and Neck surgery from January 2010. til June 2011. with the aim to determine the role of the PTH assay as an early predictor of postoperative disfunction of parathyroids after thyroid surgery, and establish optimal time and number of blood samples for iPTH measurement. According to the results of this study, routine use of this assay should be considered, because it may allow earlier discharge of the normocalcemic patient and earlier identification of patients requiring treatment for postthyroidectomy hypocalcaemia.
hipokalcemija, operacija štitnjače
nije evidentirano
engleski
The role of parathyroid hormone measurment in early postoperative finding of hypocalcaemia after thyroid gland surgery
nije evidentirano
hypocalcaemia, thyroid surgery,
nije evidentirano
Podaci o izdanju
89
25.05.2016.
obranjeno
Podaci o ustanovi koja je dodijelila akademski stupanj
Medicinski fakultet u Zagrebu
ZAGREB