Re-operation for bleeding after thyroidectomy and parathyroidectomy
Re-operation for bleeding after thyroidectomy and parathyroidectomy
复制标题
DOI：
10.1002/hed.1076
复制
发表时间：
2001-07-01
影响因子：
2.9
通讯作者：
Heller, KS
中科院分区：
文献类型：
--
作者：
Abbas, G;Dubner, S;Heller, KS
背景本研究旨在确定甲状腺切除术（THY）和甲状旁腺切除术（帕拉）后出血再次手术的频率和时间，以及这对门诊手术安全性的影响。从1995年3月1日至1999年12月31日期间接受手术的患者的计算机数据库中确定THY和PAPA后需要再次手术的患者。详细回顾了这些患者的病历资料。6/918例THY（0.7%）和4/350例PAPA（1.1%）因出血需要再次手术。在2例病例中，由于气道阻塞恶化，在床边紧急打开伤口。1例患者需要紧急气管切开术。无死亡病例。除1例术后5天流血的外，从手术完成到发现术后血肿的时间为2 ~ 48 h，中位数为16 h。术后出血是THY和PAPA的一种不常见但不可避免的并发症。如果及时治疗，可以避免严重后果。当推荐在门诊基础上进行这些手术时，需要考虑初次手术和血肿发生之间相对较长的间隔。(C)John Wiley & Sons，Inc.头颈部23：544-546，2001。
Background. This study was undertaken to determine the frequency and timing of re-operation for bleeding following thyroidectomy (THY) and parathyroidectomy (PARA) as well as the implications of this concerning the safety of ambulatory surgery.Methods. Patients requiring re-operation after THY and PAPA were identified from a computerized database of patients undergoing surgery between 3/1/95 and 12/31/99. The medical records of these patients were reviewed in detail.Results. Six of 918 THY (0.7%) and 4 of 350 PAPA (1.1%) required re-operation for bleeding. In two cases the wounds were opened emergently at the bedside due to worsening airway obstruction. One patient required an emergency tracheostomy. There were no deaths. Excluding one patient who bled five days post-operatively, the time interval from the completion of surgery to the identification of postoperative hematoma ranged from 2 to 48 hours, the median being 16 hours.Conclusions. Postoperative bleeding is an uncommon but unavoidable complication of THY and PAPA. If treated promptly, serious consequences can be avoided. The relatively long interval between the initial operation and the development of the hematoma needs to be considered when recommending the performance of these procedures on an ambulatory basis. (C) 2001 John Wiley & Sons, Inc. Head Neck 23: 544-546, 2001.