甲状腺术后出血的原因及处理:附8例临床分析
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殷德涛, Email: detaoyin@zzu.edu.cn

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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)。


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

    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 post-thyroidectomy bleeding, and the traditional ligation or suture with silk thread should not be overlooked.

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殷德涛,李香华,李红强,柳桢,王勇飞,余坤,许建辉.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.
DOI:10.3978/j. issn.1005-6947.2015.11.018

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  • 收稿日期:2015-09-09
  • 最后修改日期:2015-10-11
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  • 在线发布日期: 2015-11-15