舌癌根治术后气切并发大出血1例

• 作者: 吴汉江 孙明宇
• 来源期刊: 临床耳鼻咽喉头颈外科杂志
• 学科: 医学
• 关键词: 舌癌根治术 气管切开 无名动脉大出血
• 年，卷（期）: 2017,（10）
• 所属期刊栏目: 病例报告
• 页码范围: 804-805
• 页数: 2页
• 分类号: R739.86
• 语种: 中文
• DOI: 10.13201/j.issn.1001-1781.2017.10.017

摘要

A 55-year old middle-aged male presented swelling lymph nodes in neck and mass in left tongue for three mouths.Physical examination shows a size 5 cm× 5 cm mass in tongue and went over the midline.The mandibular lymph nodes were touched with moderate tenderness and little mobility in bilateral.The laboratory results,function of the kidney and heart liver,nasopharyngeal fiber area were basically normal.The result of CT and MRI shows the mass reached the lingual muscle layer and several suspected metastatic lymph nodes in neck.Pathological examination shows much atypical squamous cell reached muscle layer,diagnosed as highly differentiated squamous cell carcinoma.We determined to treat the patient with removal of primary lesion and bilateral neck dissection.We performed tracheotomy after the operation.During the surgeon's blunt dissection of the trachea surrounding tissue,the hemorrhage occurred.After staunching the blood,we transferred sternocleidomastoid muscle flap to fill the soft gas space and finished the surgery.