老人被甲状腺肿物“卡脖子” 佛中医多学科协做为病人拆“弹”
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 老人被甲状腺肿物“卡脖子” 佛中医多学科协<span style="color: black;">做为</span><span style="color: black;">病人</span>拆“弹” </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近期</span>,80岁高龄的陈伯出院时,向佛山市中医院外一科(普通外科)的医护人员挥手致谢,内心激动难掩。该科医护团队早前<span style="color: black;">帮忙</span>他解除了“卡脖子”<span style="color: black;">困难</span>,卸下<span style="color: black;">数年</span>来自胸部的“<span style="color: black;">按时</span>炸弹”,让<span style="color: black;">呼气</span>变得久违的顺畅、舒服。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q0.itc.cn/q_70/images03/20240327/261c3ca6e52c4ec69065e02105c1dd92.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">佛山市中医院外一科<span style="color: black;">专家</span>霍景山教授在为<span style="color: black;">病人</span>解答健康疑问。 /医院供图</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">据<span style="color: black;">认识</span>,陈伯10年前<span style="color: black;">检测</span>就<span style="color: black;">发掘</span>了甲状腺肿物,但<span style="color: black;">无</span><span style="color: black;">注意</span>。随着时间推移,其颈部的肿物<span style="color: black;">逐步</span>增大,并<span style="color: black;">显现</span>气促不适,随后被确诊为胸骨后甲状腺右叶巨大肿物压迫气管,<span style="color: black;">引起</span>气管中重度狭窄。为<span style="color: black;">处理</span>这一问题,陈伯前往佛山市中医院外一科<span style="color: black;">专家</span>霍景山教授处就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">入院后,主管<span style="color: black;">大夫</span>欧阳秋伟为陈伯进行详尽系统的<span style="color: black;">检测</span>,<span style="color: black;">最后</span>诊断为巨大甲状腺结节并气管压迫,<span style="color: black;">必须</span>手术切除。<span style="color: black;">因为</span><span style="color: black;">病人</span>已<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难,若不<span style="color: black;">即时</span>处理,可能危及生命。但术前的综合<span style="color: black;">评定</span><span style="color: black;">发掘</span>,陈伯除了高龄,还合并高血压、高血压性心脏病、腹主动脉穿透性溃疡、强直性脊柱炎等<span style="color: black;">疾患</span>,再加上甲状腺肿物巨大且压迫气管,<span style="color: black;">麻木</span>插管、手术及术后拔管难度及<span style="color: black;">危害</span>很大。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术前,霍景山组织了<span style="color: black;">麻木</span>科、手术室、ICU等<span style="color: black;">关联</span>科室进行讨论,充分<span style="color: black;">评定</span>手术全程可能<span style="color: black;">显现</span>的意外<span style="color: black;">状况</span>,并精心制定了全面而<span style="color: black;">仔细</span>的手术<span style="color: black;">方法</span>及应急预案,积极联系血库备好血以备不时之需。护士长梁立雪带领护理团队做好围手术期心理辅导、护理沟通协作,缓解<span style="color: black;">病人</span>及家属紧张的<span style="color: black;">心情</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在手术室和<span style="color: black;">麻木</span>科的密切<span style="color: black;">协同</span>下,<span style="color: black;">麻木</span>二科<span style="color: black;">专家</span>廖荣宗顺利为<span style="color: black;">病人</span>进行气管插管。霍景山团队克服了<span style="color: black;">各样</span>困难,顺利完成手术。术后<span style="color: black;">病人</span>转ICU监护治疗,并于转入第2天顺利拔管,转回普通病房。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手术前后的<span style="color: black;">全部</span>时间段,外一科充分发挥中医药<span style="color: black;">特殊</span>,运用中医外治、内服等手段辨证施治,缓解陈伯<span style="color: black;">显现</span>的身体不适,<span style="color: black;">帮忙</span>他更好地<span style="color: black;">恢复</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">霍景山<span style="color: black;">暗示</span>,胸骨后甲状腺肿<span style="color: black;">指的是</span>胸骨后纵隔区域的甲状腺肿,一旦确诊,即使<span style="color: black;">病人</span><span style="color: black;">无</span><span style="color: black;">显著</span>的自觉症状,<span style="color: black;">亦</span>应尽早手术切除。常规的手术切除<span style="color: black;">能够</span>防止<span style="color: black;">因为</span>恶变及<span style="color: black;">流血</span>等<span style="color: black;">原因</span><span style="color: black;">导致</span>的急性压迫症状。虽然手术<span style="color: black;">危害</span>较高,但手术依然是治疗巨大甲状腺肿的基本手段。充分的术前<span style="color: black;">检测</span><span style="color: black;">评定</span>,采取<span style="color: black;">恰当</span>的手术方式,<span style="color: black;">协同</span>中医中药等处理,可<span style="color: black;">极重</span><span style="color: black;">加强</span>切除胸骨后巨大甲状腺肿的成功率,并减少并发症的发生。</p>
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