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Published: 2025-08-19
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DOI: https://doi.org/10.52163/yhc.v66iCD8.3009
Issue
Vol. 66 No. CĐ8-NCKH
Section
Articles
How to Cite
Phong, L. M., & Cường, N. V. (2025). 53. CHARACTERISTICS OF POSTOPERATIVE HYPOCALCEMIA FOLLOWING THYROID SURGERY AT 175 MILITARY HOSPITAL. Vietnam Journal of Community Medicine, 66(CĐ8-NCKH). https://doi.org/10.52163/yhc.v66iCD8.3009

53. CHARACTERISTICS OF POSTOPERATIVE HYPOCALCEMIA FOLLOWING THYROID SURGERY AT 175 MILITARY HOSPITAL

Le Minh Phong1, Nguyen Viet Cuong1
1 Military Hospital 175

Main Article Content

Abstract

Objective: To evaluate the characteristics of postoperative hypocalcemia, clinical symptoms, and associated risk factors following thyroid surgery at Military Hospital 175.


Subjects and Methods: A cross-sectional descriptive study combined with a prospective approach was conducted on 44 patients undergoing thyroid surgery at Military Hospital 175 from May 2022 to September 2024.


Results: Among 44 patients, the mean age was 46.3 ± 11.2 years, with females accounting for the majority (79.55%). The majority of patients did not experience hypocalcemia (68.18%), while transient hypocalcemia occurred in 22.73%, and permanent hypocalcemia was observed in 9.09%. Common clinical symptoms included paresthesia (63.64%), tetany (36.36%), cardiac arrhythmia (9.09%), and laryngeal spasm (4.55%). Major risk factors included total thyroidectomy (65.91%), parathyroid gland injury (36.36%), and bleeding or neck edema (15.91%). Significant associations were found between risk factors such as the type of surgery and parathyroid gland injury with postoperative hypocalcemia (p<0.05).


Conclusion: Postoperative hypocalcemia following thyroid surgery was predominantly transient. Total thyroidectomy and parathyroid gland injury were critical risk factors requiring careful management during surgery.

Article Details

Keywords

Hypocalcemia, thyroid surgery, parathyroid gland injury.

References

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