钝性颈外伤后创伤性双侧甲状腺出血的非手术治疗。

IF 1.2 Q3 EMERGENCY MEDICINE
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-10-01 Epub Date: 2022-12-07 DOI:10.4103/jets.jets_157_21
Sih-Shiang Huang, Wan-Ching Lien
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引用次数: 2

摘要

外伤性甲状腺出血是一种罕见但可能危及生命的疾病。双侧甲状腺出血更为罕见。在此,我们报告一例外伤性双侧甲状腺出血的非手术治疗。一位患有甲状腺肿的49岁女性在一次交通事故后被送往急诊科。她脖子肿胀,有压痛;然而,没有发现任何喘鸣或呼吸窘迫。计算机断层扫描后诊断为创伤性双侧甲状腺出血伴轻度气管向右偏移。对没有气道受损迹象的患者进行非手术治疗和强化监测。病人在住院5天后平静地出院了。6个月的随访显示病情稳定,甲状腺功能测试正常。这一罕见的病例证明了非手术治疗颈部钝性损伤并伴有双侧甲状腺出血的成功。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Successful Nonoperative Management of a Traumatic Bilateral Thyroid Hemorrhage Following Blunt Neck Trauma.

Successful Nonoperative Management of a Traumatic Bilateral Thyroid Hemorrhage Following Blunt Neck Trauma.

Successful Nonoperative Management of a Traumatic Bilateral Thyroid Hemorrhage Following Blunt Neck Trauma.

Traumatic thyroid hemorrhage is a rare but potentially life-threatening condition. Bilateral thyroid hemorrhage is even rarer. Herein, we report a case of traumatic bilateral thyroid hemorrhage treated with nonoperative management. A 49-year-old woman with preexisting goiter presented to the emergency department after a traffic accident. She had neck swelling and tenderness; however, no stridor or respiratory distress was noted. Traumatic bilateral thyroid hemorrhage with mild tracheal deviation to the right was diagnosed after computed tomography. Nonoperative management and intensive monitoring were applied for no signs of airway compromised. The patient was discharged after 5 days of hospital stay uneventfully. 6-month follow-up revealed stationary condition and normal thyroid function tests. This rare case demonstrated successful nonoperative management on the blunt injury of the neck, complicated with bilateral thyroid hemorrhage.

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来源期刊
CiteScore
2.90
自引率
7.10%
发文量
52
审稿时长
39 weeks
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