Objective. Theaim of this study was to summarize the perioperative nursing care of patients with recurrent parathyroid carcinoma.\nMethods. A retrospective analysis of 10 patients with recurrent parathyroid carcinoma was performed. The clinical data, diagnosis,\ntreatment process, and nursing process (including clinical nursing intervention of various complications) were analyzed. The\nnursing experience and methods were discussed, summarized, and analyzed. Results. A total of 10 patients were reviewed (male :\nfemale 7 : 3; aged 48.6 ± 14.60 years). The mean interval between the initial operation and reoperation was 2.23 ± 1.65 years. The\nmean number of operations was 4.00 ± 1.41. Invasion of the trachea or esophagus was evident in 7 patients, larynx in 6 patients,\nrecurrent laryngeal nerve in 1 patient, and cyclic cartilage in 2 patients. Serum calcium range was 3.20â??4.68 mmol/L, and\nparathyroid hormone (PTH) range was 860â??2830 pg/ml at admission. 6 patients underwent prophylactic tracheostomy, 2 patients\nunderwent partial laryngectomy, and 2 patients underwent total laryngectomy. 1 patient experienced temporary water-electrolyte\ndisorder and hypoproteinemia. The median serum calcium was 2.28 mmol/L (1.66â??3.18 mmol/L) and median PTH level was\n82.60 pg/ml (63.70â??900.00 pg/ml) postoperatively. Serum PTH and calcium were still higher than the upper limit of normal in 2\npatients after surgery. 2 of the other 8 patients relapsed within 8â??11 months, and 6 patients remained normal for 11â??40 months.\nConclusion. For patients with reoperation of recurrent parathyroid carcinoma, high-quality, reasonable, and careful perioperative\nnursing ensured a successful operation and optimized outcome.
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