예기치 못한 기도폐색이 합병된 외상성 갑상선 혈종

윤대성; 나유미; 이상억; 최인석; 최원준; 민현식

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자료유형: 학술저널

저자정보: 윤대성 나유미 이상억 최인석 최원준 민현식

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제10권 제1호

발행연도: 2010.1

수록면: 39 - 41 (3page)

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Traumatic thyroid hematoma is a rare problem in cases of blunt trauma, but it can be a life-threatening condition. We report here on a case of thyroid hematoma that was complicated with unexpected airway obstruction due to blunt trauma on the anterior neck. A 23-year-old man who developed neck painful swelling and dyspnea was admitted to the emergency room with a blunt neck injury after motor-bicycle accident, and he hit his anterior neck against the handle-bar. He had no previous thyroid pathology and other medical problems. On the initial examination, his vital signs were stable and the oxygen saturation was 97.8%. A computed tomography (CT) scan of the neck showed fragmentation and extensive hematoma within the right thyroid gland and dislocation of the trachea. No definite bleeding focus was identified on the angiography that was done through the carotid artery. Two hours later, the patient experienced sudden respiratory distress and the oxygen saturation dropped rapidly. The patient needed emerg encyendotracheal intubation and surgical intervention. He successfully underwent right lobectomy of the thyroid gland, and was discharged on the 6th hospital day without any complications. The thyroid function was normal after 3 months. (Korean J Endocrine Surg 2010;10:39-41)

#갑상선 혈종 #외상 #기도폐쇄 #엽절제술 #Thyroid hematoma #Trauma #Airway obstruction #Lobectomy

참고문헌 (7)

참고문헌 신청

Blaivas M / 1999 / Thyroid gland hematoma after blunt cervical trauma / Am J Emerg Med 17 : 348 ~ 350

Heizmann O / 2006 / Blunt injury to the thyroid gland: proposed classification and treatment algorithm / J Trauma 61 : 1012 ~ 1015

Mollar-Puchades MA / 2006 / Thyroid hematoma and infectious thyroiditis after a neck injury / Thyroid 16 : 421 ~ 422

Oka Y / 2007 / Blunt thyroid trauma with acute hemorrhage and respiratory distress / J Emerg Med 32 : 35 ~ 38

Park CH / 2006 / Thyroid gland rupture after blunt cervical trauma / J Ultrasound Med 25 : 943 ~ 746

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