甲状腺术后出血的原因及处理：附8 例临床分析
| 作者: |
1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 郑州大学第一附属医院 甲状腺外科，河南 郑州 450052 |
| 通讯: |
殷德涛
Email: detaoyin@zzu.edu.cn |
| DOI: | 10.3978/.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。
关键词：
甲状腺切除术
手术后出血/ 诊断
手术后出血/ 治疗
Causes and treatment of post-thyroidectomy hemorrhage: a clinical analysis of 8 cases
CorrespondingAuthor:YIN Detao Email: detaoyin@zzu.edu.cn
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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