Hor Tiffany, Lahiri Sharon Wu
Department of Medicine, Section of Endocrinology at Rush University Medical Center, Chicago, IL, USA.
Thyroid. 2008 May;18(5):567-9. doi: 10.1089/thy.2007.0363.
Fine-needle aspiration of the thyroid gland is a common procedure that is increasingly being used to evaluate thyroid nodules incidentally found by other imaging means such as computed tomography scans. Rare complications include hematoma, transient vocal cord paralysis, seeding of carcinoma cells, and infection. Of these, hematoma is the most common and is usually small and adequately treated with compression of the site. Only two cases have been previously reported describing large thyroid hematoma after fine-needle aspiration resulting in acute airway compromise and requiring surgical decompression.
We report an interesting case of large bilateral thyroid hematomas after routine fine-needle aspiration causing acute airway obstruction in a patient with hypertension and end stage renal disease taking aspirin.
甲状腺细针穿刺是一种常见的操作，越来越多地用于评估通过其他成像手段（如计算机断层扫描）偶然发现的甲状腺结节。罕见的并发症包括血肿、短暂性声带麻痹、癌细胞种植和感染。其中，血肿最为常见，通常较小，通过对穿刺部位进行压迫即可得到充分治疗。此前仅有两例报告描述了甲状腺细针穿刺后出现巨大甲状腺血肿，导致急性气道受压并需要手术减压。
我们报告了一例有趣的病例，一名患有高血压和终末期肾病且正在服用阿司匹林的患者，在常规甲状腺细针穿刺后出现双侧巨大甲状腺血肿，导致急性气道梗阻。
