摘要
目的探讨甲状腺术后出血的原因,以及甲状腺术后出血处理措施。方法回顾分析我院2005年7月至2012年12月1 151例甲状腺手术后12例出血患者的临床资料。结果甲状腺手术后出血共12例,发生率为1.04%,其中颈前静脉出血者3例,甲状腺残面出血3例,颈前肌群出血4例,甲状腺上动脉出血1例,皮下血肿1例。所有病例经及时治疗处理止血后,伤口均Ⅰ期愈合,无一例死亡。结论术后及时诊断处理,是降低甲状腺术后出血及导致死亡的关键。
Objective To analyze the reason of post-thyroidectomy hemorrhage and the countermeasures to explore the perioperative and intraoperative, as well as post-thyroidectomy hemorrhage processing measures. Methods The clinical data of 1 151 cases with thyroid disease with operation from July 2005 to December 2012 were analysed retrospectively. Results Among the 1 151 cases, bleeding after oper- ation was found in 12 eases （ 1.04% ）, including hemorrhage of anterior jugular vein in 3 cases, hemorrhage of throid wound after thyroid mass resection in 3 cases, hemorrhage of anterior juglar muscles in 4 cases, hemorrhage of superior thyroid artery in 1 case and subcutaneous hematoma in 1 case. All patients were cured by treatment in time or by re-operation without death. Conclusion The measures for reducing the mortality of bleeding after the thyroid operation lie in early diagnosis and proper treatment.
出处
《安徽医学》
2013年第6期749-750,共2页
Anhui Medical Journal
关键词
甲状腺
术后出血
临床治疗
Post-thyroidectamy
Wound hematoma
Clinical experience
