临床研究(Clinical Research)

甲状腺术后出血的原因及处理:附8 例临床分析

Published at: 2015年第24卷第11期

殷德涛 1 , 李香华 1 , 李红强 1 , 柳桢 1 , 王勇飞 1 , 余坤 1 , 许建辉 1
1 郑州大学第一附属医院 甲状腺外科,河南 郑州 450052
通讯作者 德涛 殷 Email: detaoyin@zzu.edu.cn
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.11.018
基金:
国家自然科学基金资助项目 81372863
郑州市科技计划(领军人才)基金资助项目 131PLJRC676

摘要

目的:探讨甲状腺术后出血的临床特征及处理措施。方法:回顾郑州大学第一附属医院自2014 年4 月—2015 年5 月共3 417 例甲状腺手术患者的临床资料,对其中8 例发生术后出血的患者进行临床分析。结果: 8 例患者中有2 例为皮瓣出血,2 例为颈前静脉的出血,2 例为甲状腺上动脉的出血,1 例为甲状腺下动脉的出血,1 例为颈前肌肉出血。8 例患者均给予相应的处理措施,均未出现窒息等严重后果,切口甲级愈合出院。结论:早期明确诊断并积极处理是减少术后出血并发症的关键,不能忽略传统丝线的结扎或缝扎。


Causes and treatment of post-thyroidectomy hemorrhage: a clinical analysis of 8 cases

Abstract

Objective: To investigate the clinical characteristics and treatment measures of post-thyroidectomy hemorrhage. Methods: The clinical data of 3 417 patients undergoing thyroid surgery between April 2014 and May 2015 in the First Affiliated Hospital of Zhengzhou University were reviewed, from which 8 cases developing postoperative hemorrhage were picked up and analyzed. Results: The 8 patients included 2 cases of subcutaneous hematoma, 2 cases of anterior jugular vein hemorrhage, 2 cases of superior thyroid artery hemorrhage, one case of inferior thyroid artery hemorrhage, and one case of hemorrhage of the anterior muscles of the neck. All the 8 patients underwent corresponding management with no serious consequences, such as asphyxia, occurring in any of them, and they were discharged with grade-1 wound healing. Conclusion: Early detection and aggressive treatment are crucial for reducing the complications of postthyroidectomy bleeding, and the traditional ligation or suture with silk thread should not be overlooked.


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引用

引用本文: 德涛 殷, 香华 李, 红强 李, 桢 柳, 勇飞 王, 坤 余, 建辉 许. 甲状腺术后出血的原因及处理:附8 例临床分析[J]. 中国普通外科杂志, 2015, 24(11): 1592-1595.
Cite this article as: YIN Detao, LI Xianghua, LI Hongqiang, LIU Zhen, WANG Yongfei, YU Kun, XU Jianhui . Causes and treatment of post-thyroidectomy hemorrhage: a clinical analysis of 8 cases[J]. Chin J Gen Surg, 2015, 24(11): 1592-1595.