甲状腺穿孔合并气管切开术导致的大出血。两例报告。

Massive hemorrhage from perforated thyroid complicating tracheostomy. Report of two cases.

作者信息

Tschang T P, Cramer S

出版信息

Arch Otolaryngol. 1977 Sep;103(9):557-9. doi: 10.1001/archotol.1977.00780260087014.

DOI:10.1001/archotol.1977.00780260087014

Abstract

Two cases of unusual hemorrhagic complication of tracheostomy involved perforation of the thyroid gland as the cause of hemorrhagic episodes. In one case, massive hemorrhage complicated the postoperative course of a 62-year-old man with dissecting aortic aneurysm. In the other, fatal hemorrhage occurred after tracheostomy through the thyroid gland in a 6-month-old boy. A major branch of the thyroid artery was ruptured adjacent to the tracheostomy wound. This is the sixth reported case of fatal hemorrhage from perforation of thyroid artery after tracheostomy, to our knowledge.

摘要

两例气管切开术罕见的出血并发症，甲状腺穿孔是出血事件的原因。一例中，一名62岁患有主动脉夹层动脉瘤的男性术后过程中出现大量出血。另一例中，一名6个月大的男孩经甲状腺进行气管切开术后发生致命出血。甲状腺动脉的一个主要分支在气管切开伤口附近破裂。据我们所知，这是第六例报道的气管切开术后甲状腺动脉穿孔导致致命出血的病例。