Patterns of Post-thyroidectomy Hemorrhage.
Patterns of Post-thyroidectomy Hemorrhage.
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DOI：
10.3342/ceo.2009.2.2.72
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发表时间：
2009-06
影响因子：
3
通讯作者：
Lee KD
中科院分区：
文献类型：
--
作者：
Lee HS;Lee BJ;Kim SW;Cha YW;Choi YS;Park YH;Lee KD
术后出血是甲状腺手术中一种潜在的危及生命的并发症。本研究旨在回顾甲状腺切除术后出血的临床模式，特别是与出血来源有关的临床模式。我们对10例（0.96%）甲状腺切除术后出血需要手术引流的患者进行了回顾性分析。评估手术至出血的时间间隔等临床特征及根据出血病灶的体征和症状。从手术到出现症状的平均时间间隔为7小时52分钟。6例为肌带深层出血，4例为肌浅表出血。4例浅表性出血中3例（75%）有明显的淤斑和深色，而6例深部出血中仅有2例（33%）有淤斑。2例血肿深至肩带肌发生呼吸窘迫，但无一例有浅表性出血。甲状腺切除术后出血在浅表和深部有不同的临床表现，表明深部血肿可导致危及生命的气道阻塞。深入了解甲状腺切除术后浅表血肿和深部血肿出血的临床模式，可以为治疗这种潜在的致命并发症提供有价值的手术技巧。
Postoperative hemorrhage is a potentially life-threatening complication in thyroid surgery. This study was performed to review the clinical patterns of post-thyroidectomy hemorrhage, and especially as they are related to the source of bleeding. We performed a retrospective review of 10 patients (0.96%) with post-thyroidectomy hemorrhage that required surgical evacuation. The clinical patterns such as the time interval from surgery to hemorrhage and the signs and symptoms according to the bleeding focus were evaluated. The mean time interval from surgery to symptom onset was 7 hr 52 min. Six cases showed bleeding deep to the strap muscles, while the other 4 cases showed bleeding superficial to the muscles. Ecchymosis was prominent and dark in color in 3 of the 4 cases (75%) of superficial bleeding, however it was identified in only 2 of the 6 cases (33%) of deep bleeding. Respiratory distress occurred in two cases of hematoma deep to the strap muscles, but in none of the cases with superficial bleeding. The post-thyroidectomy hemorrhage had some different clinical patterns between the superficial cases and the deep cases, showing that life-threatening airway obstruction occurred from the deep hematoma. A thorough understanding of the clinical patterns of post-thyroidectomy hemorrhage between the cases of superficial and those cases of deep hematoma may provide valuable surgical tips to manage this potentially lethal complication.
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影响因子：
2.3
作者：
Harding, Jane;Sebag, Frederic;Henry, Jean-Francois
通讯作者：
Henry, Jean-Francois
影响因子：
1.4
作者：
LACOSTE, L;MONTAZ, N;FUSCIARDI, J
通讯作者：
FUSCIARDI, J
影响因子：
2.5
作者：
MATORY, YL;SPIRO, RH
通讯作者：
SPIRO, RH
影响因子：
3.8
作者：
Burkey, SH;van Heerden, JA;Farley, DR
通讯作者：
Farley, DR
DOI：
10.1002/hed.1076
发表时间：
2001-07-01
影响因子：
2.9
作者：
Abbas, G;Dubner, S;Heller, KS
通讯作者：
Heller, KS