Objective. e aim of this study was to summarize the perioperative nursing care of patients with recurrent parathyroid carcinoma. Methods. A retrospective analysis of 10 patients with recurrent parathyroid carcinoma was performed. e clinical data, diagnosis, treatment process, and nursing process (including clinical nursing intervention of various complications) were analyzed. e nursing experience and methods were discussed, summarized, and analyzed. Results. A total of 10 patients were reviewed (male : female 7 : 3; aged 48.6 ± 14.60 years). e mean interval between the initial operation and reoperation was 2.23 ± 1.65 years. e mean number of operations was 4.00 ± 1.41. Invasion of the trachea or esophagus was evident in 7 patients, larynx in 6 patients, recurrent laryngeal nerve in 1 patient, and cyclic cartilage in 2 patients. Serum calcium range was 3.20-4.68 mmol/L, and parathyroid hormone (PTH) range was 860-2830 pg/ml at admission. 6 patients underwent prophylactic tracheostomy, 2 patients underwent partial laryngectomy, and 2 patients underwent total laryngectomy. 1 patient experienced temporary water-electrolyte disorder and hypoproteinemia. e median serum calcium was 2.28 mmol/L (1.66-3.18 mmol/L) and median PTH level was 82.60 pg/ml (63.70-900.00 pg/ml) postoperatively. Serum PTH and calcium were still higher than the upper limit of normal in 2 patients after surgery. 2 of the other 8 patients relapsed within 8-11 months, and 6 patients remained normal for 11-40 months. Conclusion. For patients with reoperation of recurrent parathyroid carcinoma, high-quality, reasonable, and careful perioperative nursing ensured a successful operation and optimized outcome.
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