继发性甲状旁腺功能亢进术后出血的原因及处理——附6例临床分析  

Causes and management of postoperative bleeding of secondary hyperparathyroidism:a report of 6 cases

作　　者：廖丹[1] 张梦蝶 郑厚普 曾琳 夏可义[1] 傅汉锟[1] 王宇坤[1] 郭璐 曾鸿孟 LIAO Dan;ZHANG Meng-die;ZHENG Hou-pu(Department of Thyroid and Breast Surgery, the First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, China)

机构地区：[1]广西中医药大学第一附属医院甲状腺乳腺外科,南宁530023

出　　处：《中国临床新医学》2020年第3期266-268,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西科学研究与技术开发计划项目(编号:桂科攻1598012-15)。

摘　　要：目的分析继发性甲状旁腺功能亢进(SHPT)术后出血的临床特征及处理预防措施。方法该院2014-08~2017-08接受手术治疗SHPT患者100例,对其中6例发生术后出血患者的临床资料进行回顾性分析。结果6例患者中2例为皮瓣出血,2例为颈前静脉出血,2例为颈前肌肉出血。6例患者均给予相应的处理措施,均未出现窒息等严重后果,治愈后出院。结论围手术期积极处理所有可能导致术后出血的原因,在手术过程中仔细操作并在关闭切口前彻底的止血,是避免术后出血的关键。Objective To explore the clinical characteristics and preventive measures of postoperative hemorrhage of secondary hyperparathyroidism(SHPT).Methods One hundred SHPT patients were performed operation in our hospital from August 2014 to August 2017,among whom 6 cases had postoperative bleeding and their clinical data were retrospectively analyzed.Results Of the 6 cases,2 cases had skin flap bleeding,2 cases had anterior cervical vein hemorrhage and 2 cases had anterior cervical muscle bleeding.The 6 cases were given corresponding treatment measures.No severe consequences such as asphyxia occurred and they were cured and discharged.ConclusionDealing with all the causes of perioperative bleeding and operating on the patients carefully during the operation and completing hemostasis before closing the incision are the key points to avoid bleeding after operation.

关 键 词：继发性甲状旁腺功能亢进 术后出血 处理 

分 类 号：R582.1[医药卫生—内分泌]