摘要
摘要目的探讨巨大甲状腺肿瘤术后出现迟发性呼吸道梗阻的原因.方法回顾分析迟发性(术后２４－７２h)呼吸道梗阻５例临床资料.结果迟发性呼吸道梗阻可能与??气管软化塌陷、双侧喉返神经损伤双侧声带麻痹、气管插管及拔管导致声带损伤等因素有关.结论呼吸道梗阻或窒息是巨大甲状腺肿瘤术后严重并发症,术前及术中应正确判断是否后出现术后呼吸道梗阻,一旦发生迟发性呼吸道梗阻,气管切开是首选的治疗方式关键词巨大甲状腺肿瘤;迟发性;呼吸道梗阻;气管软化;损伤Analysisofthecauseofthelate－onsetrespiratorytractobstructionafterlargethyroidtumorsurgeryLuoYi,LiYangmin,WeiChenggang(Thesecondclinicalmedicalcollegeofnorthsichuanmedicalcollege(Nanchongcentralhospital),Thethreedepartmentofgynaecology,ThedepartmentofobstetricsandgynecologyAbstractObjectiveExplorethecauseoflaterespiratorytractobstructionoflargethyroidtumoroperative??MethodsRetrospectiveanalysisofthe５casesofclinicaldataofthelate－onset(２４－７２－h)postoperativerespiratorytractobstruction??ResultsThelate－onsetrespiratorytractobstructionmayberelatedtotracheomalaciacollapse,laryngealrecurrentnerveinjuryonbothsides,bilateralvocalcordparalysis,endotrachealintubationandextubationinvocalcordinjuryandotherfactors??ConclusionRespiraＧtorytractobstructionorchokeistheseriouscomplicationsoftheoperateafterlargethyroidtumor,preoperativeandintraoperativeshouldcorrectlyjudgewhetherthepostopＧerativeKreeyspwiroartdosrytractobstructionhappen,intheeventoflateairwayobstruction,tracheotomyisthepreferredwayoftreatment??largethyroidtumorlate－onsetrespiratorytractobstructiontracheomalaciadamage中图分类号R７３６文献标识码B文章编号１００８－６３１５(２０１５)１２－０９９６－０１
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
