甲状腺术后出血12例临床治疗体会

摘要

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 operation was found in 12 cases (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.%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.