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目的:探讨继发性甲状旁腺功能亢进症术后迟发性出血的原因及处理措施。方法:回顾性分析南方医科大学顺德医院甲状腺外科2014年11月至2018年11月手术治疗的继发性甲状旁腺功能亢进症患者56例的临床资料,对其中5例术后迟发性出血的患者进行原因分析。结果:5例术后出血患者均为终末期肾病血液透析患者(5/56,8.93%),其中颈前静脉出血1例,甲状腺断面渗血1例,舌骨下肌群渗血3例,环甲肌渗血1例,所有病例经及时处理止血后,伤口甲级愈合,无死亡病例。结论:继发性甲状旁腺术后出血发生率不低,做好围手术期预防措施,早期明确诊断及处理,能减少其并发症及危害。“,”Objective:To study the clinical characteristics and treatment measures of postoperative bleeding in hyperparathyroidism surgery.Methods:A total of 56 patients with secondary hyperparathyroidism in Shunde Hospital from November 2014 to November 2018 were underwent parathyroidectomy, from which 5 cases developed postoperative hemorrhage were collected and analyzed.Results:Among the 56 patients, bleeding after operation were found in 5 cases(5/56, 8.93%), including hemorrhage of anterior jugular vein in 1 case, hemorrhage of thyroid wound after thyroid mass resection in 1 case, hemorrhage of anterior jugular muscles in 3 cases, hemorrhage of cricothyroid muscle in 1 case.All patients were cured by treatment in time without death.Conclusion:Early diagnosis and proper treatment are crucial for reducing the complications of post-parathyroidectomy bleeding.