甲状腺术后出血37例诊疗及预防措施  

Diagnosis & Treatment and Prevention of 37 Cases with Post-thyroidectomy Bleeding

作　　者：邱丽贞[1] 顾恩郁[1] 肖雪明[1] 黄东航[1] 

机构地区：[1]福建省立医院,福建福州350001

出　　处：《中外医学研究》2016年第32期14-15,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析甲状腺术后出血的临床特点、高危因素、处理方法和预防措施。方法:回顾性总结分析2013-2015年笔者所在医院37例甲状腺术后出血患者的临床资料和预防措施。结果:发生时间为10 min^78 h;出血原因为各种原因诱发的多种部位血管重新开放,肌肉、残留甲状腺渗血,胸锁乳突肌旁腺移植处出血。部位为甲状腺创腔、封套筋膜下和皮瓣出血。依据临床症状,5例患者选择保守治疗,32例再次手术止血,均治愈出院。结论:围手术期重在预防,其次做到术中彻底止血、早期发现和及时处理,才能有效减少甲状腺术后出血并发症的发生。Objective： To analyze the clinical characteristic, high risk factors, treatment and prevention of post-thyroidectomy bleeding.Method： The clinicai data and prevention of 37 cases of post-thyruidectomy bleeding from 2013-2015 were retrospectively analyzed.Result： The time of hemorrhage occurred from 10 min to 78 h post-operation.The reasons of bleeding included multiple induced factors, such as reopen of vascular caused by so many inducement in different places, the bleeding of muscle and residual glands, the bleeding of sternocieidomastoid muscle where transplanted parathyroid tissue.The location of hemorrhage were classified the cavity of post-thyroidectomy, under lamina superficialis fasciae colli and skin flap bieeding.Occording to clinical feacture 32 cases were cured by secondary operations except for conservation treatment on 5 cases.All cured and leave hospital.Conclusion： Preventions are crucial for reducing the complications of post-thyroidectomy bleeding in perioperative period, and then are thorough hemostasis, early detection and timely treatment.

关 键 词：甲状腺手术 术后出血 治疗 预防 

分 类 号：R653[医药卫生—外科学]