摘要
目的探讨甲状腺手术并发急性呼吸道梗阻的发生原因和诊治方法。方法回顾性分析11年间甲状腺手术并发急性呼吸道梗阻10例的发生原因,诊断要点,防治措施及其经验教训。结果11年间共施行甲状腺手术3186例,发生呼吸道梗阻10例,发生率0.31%,其中气管软化2例、血肿压迫5例、气管痉挛2例、痰液阻塞1例;行气管切开或插管6例、清除血肿4例;成功9例,死亡1例。结论血肿压迫、气管软化等是甲状腺手术并发急性呼吸道梗阻常见原因。一旦发生,必须及时行气管切开或插管。
Objective To explore the causes and management of acute respiratory tract obst ruction in patients undergoing thyroid operation. Methods A retrospective revie w was conducted in 10 such cases that we encountered in our 11 years' experienc e with thyroid operation. Results Respiratory tract obstructions occurred in 10( 0.31%) of 3 186 cases during thyroid operation. The causes for the obstructions included tracheomalacia in 2 cases, hematoma compression in 5 cases, trachea c onvulsion in 2 cases and phlegm obstruction in 1 case. Tracheotomy or intratrach eal intubation was performed in 6 cases and hematoma removal in 4 cases, with t he occurrence of death in 1 case. Conclusion Hematoma compression and tracheomal acia etc. are among the most common causes of acute respiratory tract obstructi on during thyroid operation, the occasion of which demands immediate implementa tion of tracheotomy or intratracheal intubation.
出处
《第一军医大学学报》
CSCD
北大核心
2003年第5期507-507,509,共2页
Journal of First Military Medical University
关键词
甲状腺
并发症
呼吸道梗阻
thyroid
complication
respiratory tract obstruction
