目的：探讨甲状腺术后出血的临床特征及处理措施。方法：回顾郑州大学第一附属医院自2014 年4 月—2015 年5 月共3 417 例甲状腺手术患者的临床资料，对其中8 例发生术后出血的患者进行临床分析。结果： 8 例患者中有2 例为皮瓣出血，2 例为颈前静脉的出血，2 例为甲状腺上动脉的出血，1 例为甲状腺下动脉的出血，1 例为颈前肌肉出血。8 例患者均给予相应的处理措施，均未出现窒息等严重后果，切口甲级愈合出院。结论：早期明确诊断并积极处理是减少术后出血并发症的关键，不能忽略传统丝线的结扎或缝扎。
Causes and treatment of post-thyroidectomy hemorrhage: a clinical analysis of 8 cases
Objective: To investigate the clinical characteristics and treatment measures of post-thyroidectomy hemorrhage. Methods: The clinical data of 3 417 patients undergoing thyroid surgery between April 2014 and May 2015 in the First Affiliated Hospital of Zhengzhou University were reviewed, from which 8 cases developing postoperative hemorrhage were picked up and analyzed. Results: The 8 patients included 2 cases of subcutaneous hematoma, 2 cases of anterior jugular vein hemorrhage, 2 cases of superior thyroid artery hemorrhage, one case of inferior thyroid artery hemorrhage, and one case of hemorrhage of the anterior muscles of the neck. All the 8 patients underwent corresponding management with no serious consequences, such as asphyxia, occurring in any of them, and they were discharged with grade-1 wound healing. Conclusion: Early detection and aggressive treatment are crucial for reducing the complications of postthyroidectomy bleeding, and the traditional ligation or suture with silk thread should not be overlooked.