Departments of Otorhinolaryngology-Head and Neck Surgery, Inje University Sanggye Paik Hospital, Seoul 01757, Republic of Korea.
Medicina (Kaunas). 2023 Mar 31;59(4):690. doi: 10.3390/medicina59040690.
Ultrasound-guided fine needle aspiration is an easy, safe, and efficient method of diagnosing thyroid diseases. Recent guidelines and studies have demonstrated that this test has a low incidence of complications; thus, most guidelines do not provide recommendations for post-exam care. However, the risk of serious and fatal bleeding in selected patients with bleeding tendency exists. Although screening tests for coagulation are not always necessary, a thorough assessment of past medical history needs to be made to identify disorders affecting coagulation function and bleeding risk factors, such as the use of antithrombotic drugs. This is a case report of a 70-year-old female patient who continued to take edoxaban and suffered bilateral thyroid hematoma a few hours after ultrasound-guided thyroid fine needle aspiration. The patient successfully recovered after undergoing conservative treatment.
超声引导下细针抽吸术是一种简单、安全、有效的甲状腺疾病诊断方法。最近的指南和研究表明，该检查的并发症发生率较低；因此，大多数指南并未提供检查后的护理建议。然而，在有出血倾向的特定患者中，存在严重和致命出血的风险。虽然并非总是需要进行凝血筛查试验，但需要全面评估既往病史，以识别影响凝血功能和出血风险因素的疾病，如使用抗血栓药物。这是一例 70 岁女性患者的病例报告，她在接受超声引导下甲状腺细针抽吸术后数小时继续服用依度沙班，并出现双侧甲状腺血肿。患者接受保守治疗后成功康复。
