Diagnosis and treatment of thyroid surgical emergency
10.3760/cma.j.issn.1673-4203.2016.05.009
- VernacularTitle:甲状腺相关急诊的诊断和处理
- Author:
Yong XIE
;
Xiaoling FU
;
Yuewu LIU
- Publication Type:Journal Article
- Keywords:
Thyroid gland;
Emergency treatment;
Lymphoma
- From:
International Journal of Surgery
2016;43(5):321-324,封4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of thyroid surgical emergency related disease and prognosis,provide the basis to improve treatment.Methods Retrospective analysis of 24 cases of thyroid surgical emergency patients in Peking Union Medical College Hospital,Chinese Academy of Medical between 2004 and 2014who was performed,and the Fisher analytic method was used.Results According to the condition of diseases,conservative treatment for 1 case,surgical treatment for 23 cases,interventional therapy for 2 cases were performed.The overall preoperative diagnosis rate was 45.8％.The overall perioperative death were 5 cases (20.8％),total death were 7 cases(29.2％).8 cases preoperative diagnosed or highly suspected thyroid lymphoma patients were received oral or intravenous corticosteroid treatment,with the use of corticosteroids perioperative survival rate increased from 50％ to 100％.Conclusions (1) Thyroid surgical emergency with different causes should quickly make a clinical diagnosis based.on the patient's history and examination,select rational treatments.(2) Thyroid lymphoma patients that preoperative highly suspected or diagnosed,immediate received glucocorticoid treatment can reduce airway obstruction and decrease mortality,should be promoted.
