Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China
Abstract Objective To explore clinical characteristics of postoperative hemorrhage following thyroid or parathyroid surgery, and to discuss the nursing strategies for its prevention. Methods A retrospective analysis was conducted on all patients who underwent thyroid or parathyroid surgery from Febr...
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BMC
2025-06-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-025-02923-8 |
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| author | Xiuting Zhang Benling Hu JiayuXiao Xuesong Zhang Jingya Zhang Liqin Zhu Yanbing Kuang Zhiheng Huang Yujing Weng |
| author_facet | Xiuting Zhang Benling Hu JiayuXiao Xuesong Zhang Jingya Zhang Liqin Zhu Yanbing Kuang Zhiheng Huang Yujing Weng |
| author_sort | Xiuting Zhang |
| collection | DOAJ |
| description | Abstract Objective To explore clinical characteristics of postoperative hemorrhage following thyroid or parathyroid surgery, and to discuss the nursing strategies for its prevention. Methods A retrospective analysis was conducted on all patients who underwent thyroid or parathyroid surgery from February 2016 to September 2023. The clinical data of patients who experienced postoperative hemorrhage and required reoperation were collected and analyzed. Results Among the 5579 patients who underwent surgery, 42 patients experienced postoperative hemorrhage and required reoperation. Hemorrhage occurred within 6 h in 19 cases (45.2%) and within 24 h in 35 cases (83.3%). The most common bleeding sites were the anterior cervical muscle group (44.2%) and branches of the superior or inferior thyroid artery (20.9%). Underlying diseases such as hypertension, diabetes, hemophilia, and postoperative activities like neck movements, coughing, vomiting, and drainage tube manipulation were potential risk factors for postoperative hemorrhage. Clinical manifestations of postoperative hemorrhage included neck swelling or tightness, increased drainage fluid with clots, incision bleeding, pain, skin bruising, and worsening dyspnea. Conclusion Understanding the potential risk factors and characteristics of postoperative hemorrhage in thyroid surgery is crucial for specialized thyroid nursing care, as it can aid in its prevention and treatment. |
| format | Article |
| id | doaj-art-63b5ce5bd83c4791a7d7f4094f6d6dbb |
| institution | OA Journals |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-63b5ce5bd83c4791a7d7f4094f6d6dbb2025-08-20T02:05:45ZengBMCBMC Surgery1471-24822025-06-012511810.1186/s12893-025-02923-8Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in ChinaXiuting Zhang0Benling Hu1JiayuXiao2Xuesong Zhang3Jingya Zhang4Liqin Zhu5Yanbing Kuang6Zhiheng Huang7Yujing Weng8The Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalThe Division of Thyroid Surgery, Department of General Surgery, The University of Hong Kong– Shenzhen HospitalAbstract Objective To explore clinical characteristics of postoperative hemorrhage following thyroid or parathyroid surgery, and to discuss the nursing strategies for its prevention. Methods A retrospective analysis was conducted on all patients who underwent thyroid or parathyroid surgery from February 2016 to September 2023. The clinical data of patients who experienced postoperative hemorrhage and required reoperation were collected and analyzed. Results Among the 5579 patients who underwent surgery, 42 patients experienced postoperative hemorrhage and required reoperation. Hemorrhage occurred within 6 h in 19 cases (45.2%) and within 24 h in 35 cases (83.3%). The most common bleeding sites were the anterior cervical muscle group (44.2%) and branches of the superior or inferior thyroid artery (20.9%). Underlying diseases such as hypertension, diabetes, hemophilia, and postoperative activities like neck movements, coughing, vomiting, and drainage tube manipulation were potential risk factors for postoperative hemorrhage. Clinical manifestations of postoperative hemorrhage included neck swelling or tightness, increased drainage fluid with clots, incision bleeding, pain, skin bruising, and worsening dyspnea. Conclusion Understanding the potential risk factors and characteristics of postoperative hemorrhage in thyroid surgery is crucial for specialized thyroid nursing care, as it can aid in its prevention and treatment.https://doi.org/10.1186/s12893-025-02923-8Thyroid surgeryHemorrhageNursing strategiesPostoperative careReexploration |
| spellingShingle | Xiuting Zhang Benling Hu JiayuXiao Xuesong Zhang Jingya Zhang Liqin Zhu Yanbing Kuang Zhiheng Huang Yujing Weng Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China BMC Surgery Thyroid surgery Hemorrhage Nursing strategies Postoperative care Reexploration |
| title | Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China |
| title_full | Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China |
| title_fullStr | Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China |
| title_full_unstemmed | Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China |
| title_short | Clinical features and nursing strategies of reexploration for hematomas after thyroid surgery: insights from a 7-year single-center study in China |
| title_sort | clinical features and nursing strategies of reexploration for hematomas after thyroid surgery insights from a 7 year single center study in china |
| topic | Thyroid surgery Hemorrhage Nursing strategies Postoperative care Reexploration |
| url | https://doi.org/10.1186/s12893-025-02923-8 |
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