甲状腺手术后出现的低血钙,是甲状腺外科经常遇到的一个问题。传统的观点:把甲状腺术后低血钙的原因,完全归于甲状旁腺的损伤。长期以来,由于在病因认识上的局限性,使这一临床征家缺乏更合理的解释,近年来已引起一些学者的重视。70年代以来,对甲状腺求后低血钙的原因,除了甲状旁腺的损伤以外,还提出了一些新的假说。有关这方面的文献报告虽然不多,但这些新的论点对指导临床实践却十分重要,应 Hypocalcemia after thyroid surgery is a problem often encountered in thyroid surgery. The traditional view: the cause of postoperative thyroid hypocalcemia, completely due to parathyroid injury. For a long time, due to the limitation of etiology, this clinical syndrome lacks a more reasonable explanation and has attracted some scholars’ attention in recent years. Since the 1970s, in addition to the damage of parathyroid glands, hypothyroidism has been proposed for the thyroid. Some new hypotheses have also been proposed. Although there are not many reports on this subject, these new arguments are very important for guiding clinical practice.