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甲状腺乳头状癌甲状腺切除术后患者颈部血肿的综合管理:一例报告

A Comprehensive Management of Neck Hematoma in Post-Thyroidectomy Patient for Papillary Thyroid Cancer: A Case Report.

作者信息

Thakkar Keval, Nwangene Nkiruka Lauretta, Maharjan Reeju, Francis Sandra, Carredo Carlo Kristian C, Dahal Rojaj, Khan Aadil

机构信息

Department of Internal and Hospital Medicine, Moffitt Cancer Center, Tampa, USA.

Department of Internal Medicine, Larkin Community Hospital, South Miami, USA.

出版信息

Cureus. 2023 Jul 30;15(7):e42689. doi: 10.7759/cureus.42689. eCollection 2023 Jul.

Abstract

A post-thyroidectomy hematoma is a rare, potentially fatal surgical complication that may present as hoarseness, dysphagia, and difficulty in breathing, which could progress to complete airway obstruction and, ultimately, death. The treatment for a neck hematoma is emergent surgical drainage. While certain precautions can be taken to prevent this complication, such as the cessation of any anticoagulants prior to surgery, it is still a feared complication of thyroidectomy with an increasing prevalence. In this paper, we discuss a case of a 62-year-old female with papillary thyroid cancer who presents with a postoperative complication of a neck hematoma requiring emergent surgery and conduct a literature review on managing post-thyroidectomy hematomas.

摘要

甲状腺切除术后血肿是一种罕见但可能致命的手术并发症,其表现可能为声音嘶哑、吞咽困难和呼吸困难,进而可能发展为完全气道梗阻并最终导致死亡。颈部血肿的治疗方法是紧急手术引流。虽然可以采取某些预防措施来防止这种并发症,例如在手术前停用任何抗凝剂,但它仍然是甲状腺切除术中令人担忧的并发症,且发病率呈上升趋势。在本文中,我们讨论了一例62岁患有乳头状甲状腺癌的女性患者,该患者出现了需要紧急手术的颈部血肿术后并发症,并对甲状腺切除术后血肿的处理进行了文献综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d9b/10464918/eb20ff306619/cureus-0015-00000042689-i01.jpg

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