甲状腺术后伤口出血临床分析

Clinical analysis of wound hematoma post-thyroidectomy

目的分析甲状腺手术后出血的原因,探讨甲状腺术后出血的预防措施,以及甲状腺术后出血的处理。方法回顾分析我院1999年1月至2008年3月间1559例甲状腺手术中发生术后伤口出血病例的临床资料。结果1559例甲状腺手术中发生术后伤口出血15例,发生率0.96%。其中颈前静脉出血2例,皮瓣渗血1例,甲状腺上动脉出血2例,甲状腺断面出血3例,颈前肌群出血6例,皮下血肿1例。所有病例经再手术止血后伤口均一期愈合,无一例死亡。结论早期诊断、及时正确处理是降低甲状腺术后伤口出血导致死亡的关键。

Objective To analyze the reasons of bleeding after the thyroid operation, and to discuss the preventive measures and treatments of postoperative hemorrhage. Method The clinical data of 1559 patients with thyroid diseases undergoing surgical treatment from Jan. 1999 to Mar. 2008 were analyzed retrospectively. Result Among the 1559 cases, bleeding after operation was found in 15 eases （0.96%）, including hemorrhage of anterior jugular vein （2 cases）, oozing of blood in flap （1 case）, hemorrhage of superior thyroid artery （2 cases） , hemorrhage of thyroid wound （3 cases） , hemorrhage of anterior jugular muscles （6 cases）, and subcutaneous hematoma （1 case）. All patients have been cured by re - operation with no death. Conclusion The measures for reducing the mortality of bleeding after the thyroid operation are early diagnosis and proper treatment.