Symptoms of hyperthyroidism after endoscopic surgery

summary

The most common cause of hyperthyroidism is the outbreak of thyroid diseases. The thyroid is located in our neck, which is an important endocrine organ. It secretes thyroid hormone, which can regulate various metabolic activities of the body. According to statistics, 1-2 out of every 100 women suffer from hyperthyroidism, while 1-2 out of every 1000 men suffer from hyperthyroidism. What are the symptoms of hyperthyroidism after endoscopic surgery? Let's talk about it

Symptoms of hyperthyroidism after endoscopic surgery

）Recurrent laryngeal nerve injury: recurrent laryngeal nerve injury is mainly caused by the direct injury of surgical operation, such as cutting, sewing, clipping or excessive traction, and a few are caused by hematoma compression or scar tissue traction. The former developed symptoms immediately during the operation, while the latter developed symptoms several days after the operation.

Injury of superior laryngeal nerve: it is usually caused by ligation of superior thyroid artery and vein, which is far away from the thyroid gland, without careful separation, and ligation of surrounding tissues. The injury of the external branch will paralyze the cricothyroid muscle, cause vocal cord relaxation and tone reduction.

If the internal branch is injured, the sensation of the laryngeal mucosa will be lost, and it is easy to swallow by mistake and cough by drinking water. After general treatment, it can recover by itself. In addition to excessive or residual thyroid caused by insufficient blood supply, often manifested as postoperative weakness, edema. T3 and T4 values were lower than the lower limit of normal value for a long time. It can be treated with oral thyroxine.

matters needing attention

Do a good job in daily nursing. The patients' family members or medical staff should pay attention to some daily nursing measures, such as keeping the drainage tube unobstructed, which is usually removed about 48 hours after the operation. If the drainage is not smooth, blood clots accumulate, and compression symptoms appear, the wound suture should be removed quickly. Due to the stimulation of endotracheal intubation and laryngeal edema, mild hoarseness and dysphagia may occur after operation, which can be treated symptomatically.