甲状腺术后呼吸困难原因分析  

Analysis of dyspnea after thyroid surgery

作　　者：鲁凯[1] 姚壮凯[1] 闫尚伦[1] 

机构地区：[1]江苏省连云港市第二人民医院肿瘤科,连云港市222002

出　　处：《内分泌外科杂志》2007年第4期245-246,共2页

摘　　要：目的探讨甲状腺手术并发呼吸困难的防治。方法分析我院近30年甲状腺手术并发呼吸困难25例资料。结果本组4例术后继发性出血，血肿压迫气管；4例全麻气管插管引起喉头水肿；3例因肺部感染，痰堵塞气管；5例气管软化、塌陷；6例喉及气管痉挛；1例双侧喉返神经损伤引起窒息；1例肿瘤侵犯气管致气管堵塞；1例术后哮喘发作引起呼吸困难。结论提高认识加强甲状腺手术的规范操作可明显减少手术所引起的呼吸。Objective To investigate the prevention and treatment of the dyspnea after thyroid surgery. Methods The data of 25 patients with dyspnea after thyroid surgery in recent 30 years were respectively analyzed. Results The causes of 25 cases were trachea pressed by hematoma of secondary hemorrhage after surgery （4 cases）, larynx oedema after general anesthesia tracheal intubation（4 cases）, trachea obstruction by phlegm of pulmonary infection（3 cases）, tracheomalacia（5 cases）, larynx and trachea spasm （6 cases）, bilateral recurrent laryngeal nerve injury induced aspnea （1 cases）, endotraeheal tumor obstruction because of neoplasma encroachment（1 cases） and postoperative asthma outbreak induced dyspnea （1 cases）. Conclusion Enhancing normalized thyroid operation can reduce postoperative dyspnea obviously.

关 键 词：甲状腺 手术 呼吸困难 

分 类 号：R65[医药卫生—外科学]