钝性颈部外伤后甲状腺损伤1例报告。

Abdullah Saleh Alayaaf, Yoo Seok Kim
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引用次数: 0

摘要

钝性颈部外伤后软组织损伤较为常见。由于颈部的内容物,一些重要的结构可能会受到损害。孤立的甲状腺创伤是非常罕见的,在文献中报道的病例很少。一名61岁的健康女性在一起机动车事故中因安全带损伤导致颈部左前半部钝伤。她表现为颈部前肿痛并伴有呼吸困难。计算机断层扫描显示左侧甲状腺叶撕裂,提示甲状腺活动性出血。她接受了手术探查和左甲状腺切除术,恢复顺利。孤立性甲状腺损伤并不常见,约占病例的1-2%,在大多数报告的病例中,腺体内存在显性病理。患者可出现颈部肿胀、疼痛、呼吸窘迫和吞咽困难。持续钝性颈部创伤的患者应根据ATLS®原则进行评估和稳定。首先要排除对重要结构的伤害。虽然这些病例很少见,但医生应考虑钝性颈部外伤或颈部肿胀后甲状腺损伤的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Thyroid gland injury after blunt neck trauma: a case report.

Soft-tissue injuries are relatively common after blunt neck trauma. Due to neck content, several vital structures can be compromised. Isolated trauma to the thyroid is highly uncommon, and few cases are reported in the literature. A 61-year-old otherwise healthy woman sustained blunt trauma to the left frontal half of the neck caused by seatbelt injury in a motor vehicle accident. She presented with a painful anterior neck swelling associated with dyspnea. Computed tomography showed the left thyroid lobe lacerations with features suggestive of thyroid gland active bleeding. She underwent surgical exploration with left thyroidectomy and recovered un-eventfully. Isolated thyroid gland injury is infrequent and is present in about 1-2% of the cases, and in most reported cases, there is an underlining pathology within the gland. Patients can be present with neck swelling, pain, respiratory distress, and dysphagia. Patients who sustained blunt neck trauma should be assessed and stabilized according to the ATLS® principles. Injury to vital structures should be ruled out first. Although these cases are rare, physicians should consider the possibility of thyroid injury after blunt neck trauma or neck swelling is noted.

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来源期刊
CiteScore
1.40
自引率
18.20%
发文量
82
审稿时长
4-8 weeks
期刊介绍: The Turkish Journal of Trauma and Emergency Surgery (TJTES) is an official publication of the Turkish Association of Trauma and Emergency Surgery. It is a double-blind and peer-reviewed periodical that considers for publication clinical and experimental studies, case reports, technical contributions, and letters to the editor. Scope of the journal covers the trauma and emergency surgery. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in their fields in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent reviewer to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions.
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