Naslov
Uloga mjerenja koncentracije paratireoidnoga hormona u ranom poslijeoperacijskom otkrivanju hipokalcemije nakon operacija štitnjače
(The role of parathyroid hormone measurment in early postoperative finding of hypocalcaemia after thyroid gland surgery)

Autori
Curić Radivojević, Renata

Vrsta, podvrsta i kategorija rada
Ocjenski radovi, doktorska disertacija

Fakultet
Medicinski fakultet u Zagrebu

Mjesto
ZAGREB

Datum
25.05

Godina
2016

Stranica
89

Mentor
Prgomet, Drago

Ključne riječi
hipokalcemija, operacija štitnjače
(hypocalcaemia, thyroid surgery,)

Sažetak
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.

Izvorni jezik
Hrvatski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

POVEZANOST RADA