Objective To investigate the causes and treatment of recurrent laryngeal nerve （RLN） injury during the operation of thyroidectomy. Methods Clinical data of 48 patients that RLN were injured during thyroidectomy in and out of our hospital from Jun. 2003 to Mar. 2007 were reviewed. Results No patient died while operation and staying in hospital. There were 47 cases of unilateral RLN injury, 1 case of bilateral RLN injury; 21 cases （43.7%） were injured because of suture or scar adhesion, 13 cases （27.1%） were partly broken with formed scar, 14 cases （29.2%） were completely cut off; The locations of RLN injuries were closely adjacent to the crossing of the inferior thyroid artery and RLN in 13 cases （27.1%） and 35 cases （72.9%） were within 2 cm below the point of RLN entering into throat. The injured RLN were repaired surgically in 43 cases, among which 39 cases’ phonation and vocal cord movement were restored completely or had their vocal cord movement recovered partly; There were only 4 cases that the phonation and vocal cord movement were not recovered. Another 5 cases that did not take any repair did not recovered naturally. Conclusion The location of most RLN injuries caused by mechanical injury during thyroid surgery is closely adjacent to the entrance of RLN into throat. Early nerve exploratory operation should be performed once the RLN is injured, and the method of repair should be decided according to concrete conditions of injury．
目的 分析顱內動脈瘤彈簧圈栓塞治療術中出血的原因和防治對策。 方法 回顧性分析2003年3月－2012年8月358例顱內動脈瘤采用彈簧圈栓塞治療患者，7例彈簧圈栓塞過程中出血，并繼續栓塞止血。2例為彈簧圈栓塞中造影僅見血流明顯變慢，術后CT證實的出血。術后對癥治療6例，開顱引流減壓3例。 結果 9例術中破裂者中8例致密栓塞，1例部分栓塞。5例恢復好，1例一過性動眼神經麻痹，3例死于顱內高壓 結論 術中出血與手中操作、動脈瘤形態和患者血管條件、血壓變化有關，繼續填塞及合理術中與后續治療可以挽救大部分患者生命。