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甲状腺急性"像crack一样"的出血在细针吸收活检时:一个病例报告

Yuren Zhang¹, Li Yang², Qing Ni¹

¹Department of Endocrinology, China Academy of Chinese Medical Sciences Guang'anmen Hospital, Beijing, China.

Journal of clinical ultrasound : JCU

|January 8, 2026

概括

精细针吸收活检 (FNAB) 很少会导致急性甲状腺出血和胀. 迅速干预对于在甲状腺癌诊断期间管理这种不可预测的并发症至关重要.

科学领域:

内分泌学在内分泌学.
病理学病理学病理学
手术瘤学手术瘤学

背景情况:

精细针吸收活检 (FNAB) 是评估甲状腺结节和排除甲状腺癌的标准诊断程序.
虽然FNAB通常是安全的,但存在潜在风险,包括需要迅速识别和管理的并发症.

研究的目的:

报告FNAB期间发生的两例罕见的急性甲状腺白血和胀病例.
为了突出这种不寻常的FNAB并发症的临床表现和管理.

主要方法:

使用案例报告方法,详细介绍了FNAB程序期间与两个不同的患者接触的情况.
临床观察侧重于针头插入后出血,胀和疼痛的开始.

主要成果:

在FNAB期间,两名患者在第一次针刺后立即经历了急性,类似裂的甲状腺出血和胀.
症状,包括疼痛,是短暂的,并在干预后消失.
在这两位患者中都没有发现潜在的凝血功能障碍.

结论:

类似裂纹的急性甲状腺出血是一种罕见但重要的FNAB并发症.
确切的病因尚不清楚,并考虑了潜在的过敏反应.
医疗保健提供者必须为FNAB期间不可预测的并发症做好准备,并随时提供紧急措施.

关键词:

急性出血并发症急性出血并发症案例报告案例报告凝血功能障碍凝血功能障碍用细针进行活检活检.发生出血发生出血甲状腺癌是一种癌症.

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