예기치 못한 기도폐색이 합병된 외상성 갑상선 혈종

• 영문명: A Case of Thyroid Hematoma Complicated with Unexpected Airway Obstruction by Blunt Cervical Trauma
• 발행기관: 대한내분비외과학회
• 저자명: 나유미 이상억 최인석 최원준 민현식 윤대성 Yu Mi Ra M.D. Sang Eok Lee M.D. In Seok Choi M.D. Ph.D. Won Jun Choi M.D. Ph.D. Hyun Sik Min M.D. Ph.D. and Dae Sung Yoon M.D. Ph.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』10권1호, 39~41쪽, 전체 3쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2010.03.30

영문 초록

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)

키워드

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