推迟出血与甲状腺切除术后立即出血的比较
Jun Sung Lee1, Jin Seok Lee1, Hyeok Jun Yun1
1Department of Surgery, Thyroid Cancer Center, Institute of Refractory Thyroid Cancer, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonjuro, Gangnamgu, 06273, Seoul, South Korea.
Scientific reports
|October 26, 2023
概括
男性的性别和部侧面剖析增加了甲状腺切除术出血的风险. 这些因素,以及全甲状腺切除术,预测出血延迟,需要临床考虑及时干预.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
背景情况:
- 甲状腺切除术后的出血存在重大风险,可能需要进行呼吸道干预或重新手术.
- 识别特定的风险因素对于管理和预防术后并发症至关重要.
研究的目的:
- 为了比较患者的特征和与甲状腺手术后术后出血相关的手术因素.
- 根据重新手术的时间来分析出血的危险因素.
主要方法:
- 在甲状腺切除术后患有术后出血的126名患者的回顾性研究 (2009年4月 - 2022年7月).
- 根据重新手术的时间分组患者:0天,1-7天和>7天.
- 患者人口统计数据,手术程度 (甲状腺全切除术,侧部部解剖) 和手术时间的比较.
主要成果:
- 与不出血组相比,在出血组中观察到男性患者和部侧面剖析的比例更高.
- 男性的性别,全甲状腺切除术和侧部剖析与延迟的重新手术周期有积极的相关性.
- 运行时间在重新运行组之间有显著差异.
结论:
- 男性性别和部横切割被确定为甲状腺切除术后术后出血的危险因素.
- 男性性别,全甲状腺切除术和侧部剖析是延迟出血的重要危险因素.
- 临床医生应考虑这些因素,以便在甲状腺切除术后对即时和延迟出血进行主动干预.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.7K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.7K
Esophageal Varices-II: Clinical Features and Management
73
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
73


