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甲状腺术后出血是甲状腺手术最严重的并发症,如处置不当,可危及生命。甲状腺术后出血的原因主要与渗血、血管性出血和凝血功能不佳等因素有关。除明确为皮下渗血外,其他原因所致的渗血都建议采取积极的措施再次手术止血。避免甲状腺术后出血的关键在于预防。术后避免突然剧烈的咳嗽、打喷嚏或呕吐;避免用力屏气和颈部剧烈活动,避免女性经期和停用抗凝药物未满1周的手术非常重要。同时,术中务必要做到确切严密的止血;如对止血不满意,需放置充分的负压引流。

Postoperative bleeding in thyroid surgery:prevention and managements

Thyroid postoperative bleeding is the most serious complications of thyroid surgery.If it was disposed of improperly,it can be life threatening.Thyroid postoperative bleeding is related to errhysis,vascular bleeding and clotting dysfunction and other factors.In addition to the clear for subcutaneous bleeding,other causes of bleeding are recommended to take active measures to surgery to stop bleeding again.Prevention is the key to prevent thyroid postoperative bleeding.After surgery,patients should avoid a sudden violent coughing,sneezing or vomiting,avoid strenuous activities for the spurts and neck.It is very important to avoid the surgery of the female menstrual and disable the anticoagulant drug for less than one week.At the same time,intraoperative exact tight hemostasis must be implemented.If not,sufficient negative pressure drainage should be placed.