甲状腺切除术后颈部肿胀：并非总是血肿。
Neck swelling after thyroidectomy: not always a haematoma.
作者信息
Zou Maggie, Reid Diane, Ravichandran Duraisamy
机构信息
Epsom and St Helier University Hospital, London, UK.
Luton & Dunstable University Hospital, Luton, UK.
出版信息
BMJ Case Rep. 2015 Nov 12;2015:bcr2015211758. doi: 10.1136/bcr-2015-211758.
Abstract
We present a case of a patient who returned with a neck swelling 6 days following thyroidectomy and central neck compartment lymphadenectomy for suspected thyroid carcinoma. The initial clinical suspicion pointed to a haematoma, but a needle aspiration showed chyle. Chyle leak is a rare complication of thyroid surgery. In the described case, this was successfully managed conservatively with repeated aspirations and a low-fat diet. We discuss the aetiology, presentation and management of this complication.
摘要
我们报告一例患者，该患者在因疑似甲状腺癌行甲状腺切除术及中央区颈部淋巴结清扫术后6天出现颈部肿胀。最初临床怀疑为血肿，但针吸活检显示为乳糜。乳糜漏是甲状腺手术的一种罕见并发症。在所描述的病例中，通过反复抽吸和低脂饮食保守治疗成功治愈。我们讨论了该并发症的病因、表现及处理。
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