甲状腺术后颈部伤口血肿的诊治  

Diagnosis and therapy of wound hematoma of post-thyroidectomy.

作　　者：张辉民[1] 黄文涛[1] 马日新[1] 伍国号[2] 

机构地区：[1]广东省江门市人民医院外科,广东江门529000 [2]广州中山大学肿瘤医院头颈外科,广东广州510000

出　　处：《现代肿瘤医学》2004年第2期128-129,共2页Journal of Modern Oncology

摘　　要：目的　探讨甲状腺术后颈部伤口血肿的病因、临床表现、诊断及治疗。方法　回顾分析 1990年至2 0 0 2年间的甲状腺手术病例共 30 31例中发生术后颈部伤口血肿的病例并文献复习。结果　 30 31个病例中共有 10例发生术后颈部伤口血肿 ,均再次行手术处理伤口血肿 ,其中 1例行气管切开术 ,1例死亡 ,9例治愈。结论　临床上对该并发症应有足够的认识 ,以期早期诊断。早期诊断是降低甲状腺术后颈部伤口血肿导致死亡的关键。Objective To analyze the cause,clinical feature, diagnosis and treatment of hematoma of postoperation of thyoid.Methods Ten cases of wound hematoma of post-thyroidectomy in our department from 1990～2002 were studied restospectively and literatures were reviewed.Results All the ten cases were treated by surgical treatment. One patient died.Conclusion More attention should be paid to this disease in clinical practice and correct diagnosis should be made as early as possible. Early surgical intervertion is essential to a sucessful outcome.

关 键 词：甲状腺手术 并发症 伤口血肿 病因 临床表现 预后 

分 类 号：R653[医药卫生—外科学]