甲状腺术后出血37例诊疗及预防措施(3)
PTB与手术操作者经验预判、熟练程度和局部解剖精细程度密切相关,关键在于重视该并发症的危急性,熟悉其每一个环节的高危因素,重在预防,其次做到术中彻底止血、术后早期发现,及时解决,才能有效减少PTB并发症的发生。
参考文献
[1] Wychulis A R,Beahrs O H,Woolner L B.Metastasis of carcinoma to the thyroid gland[J].Annals of Surgery,1964,160(2):169-177.
[2] Promberger R,Ott J,Kober F,et al.Risk factors for postoperative bleeding after thyroid surgery[J].Br J Surg,2012,99(3):373-379.
[3] Lang B H,Yih P C,Lo C Y.A review of risk factors and timing for postoperative hematoma after thyroidectomy:is outpatient thyroidectomy really safe[J].World J Surg,2012,36(10):2497-2502.
[4] Molinari A S,Treiguer A,Gava V G,et al.Thyroid surgery performed on an overnight basis:a 17 years of experience[J].Arch Endocrinol Metab,2015,59(5):434-440.
[5]孫辉,刘晓莉.甲状腺术后窒息原因与处理[J].中华普外科手术学杂志,2013,7(4):254-257.
[6]李志霞,陈笑.甲状腺手术后出血预防与处理[J].中华普通外科手术学杂志,2013,7(4):261-263.
[7] Swirta J S, Barczyński M.Haemorrhage after thyroid surgery[J].Przegl Lek,2013,71(2):82-85.
[8]杨卫平,邵堂雷.甲状腺手术后出血预防和处理[J].中国实用外科杂志,2012,32(5):377-379.
(收稿日期:2016-07-24), 百拇医药(邱丽贞 顾恩郁 肖雪明 黄东航)
参考文献
[1] Wychulis A R,Beahrs O H,Woolner L B.Metastasis of carcinoma to the thyroid gland[J].Annals of Surgery,1964,160(2):169-177.
[2] Promberger R,Ott J,Kober F,et al.Risk factors for postoperative bleeding after thyroid surgery[J].Br J Surg,2012,99(3):373-379.
[3] Lang B H,Yih P C,Lo C Y.A review of risk factors and timing for postoperative hematoma after thyroidectomy:is outpatient thyroidectomy really safe[J].World J Surg,2012,36(10):2497-2502.
[4] Molinari A S,Treiguer A,Gava V G,et al.Thyroid surgery performed on an overnight basis:a 17 years of experience[J].Arch Endocrinol Metab,2015,59(5):434-440.
[5]孫辉,刘晓莉.甲状腺术后窒息原因与处理[J].中华普外科手术学杂志,2013,7(4):254-257.
[6]李志霞,陈笑.甲状腺手术后出血预防与处理[J].中华普通外科手术学杂志,2013,7(4):261-263.
[7] Swirta J S, Barczyński M.Haemorrhage after thyroid surgery[J].Przegl Lek,2013,71(2):82-85.
[8]杨卫平,邵堂雷.甲状腺手术后出血预防和处理[J].中国实用外科杂志,2012,32(5):377-379.
(收稿日期:2016-07-24), 百拇医药(邱丽贞 顾恩郁 肖雪明 黄东航)