Treatment on Carotid Artery Trauma_West China Medical Journal

Authors：

ZHONG Fenglin ¹ , ZHAO Chenyang ¹ , LAN Yuping ¹ , FU Li ²

1. Department of Orthopaedics; 2. Department of Cardio-Thoracic Surgery; Central Hospital of Panzhihua City, Panzhihua, Sichuan 617067, P. R. China;

Corresponding author：

Keywords：

颈总动脉; 锁骨下动脉; 椎动脉; 损伤; 抢救

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目的　总结颈动脉损伤患者救治的临床经验。方法　2003年1月－2006年6月，抢救5例颈动脉损伤患者。男3例，女2例；年龄21～35岁。其中左右颈总动脉各1例，左锁骨下动脉2例，左椎动脉1例。合并损伤：左颈内静脉贯通伤1例，左胸导管及交感神经损伤1例，食道损伤1例，左锁骨骨折1例。受伤至入院时间20 min～3个月。受伤原因：刀刺伤3例，误食缝衣针伴感染1例，车祸伤1例。采用血管吻合修复颈总动脉及椎动脉3根、侧壁修补修复左锁骨下动脉1根、左颈内静脉1根及自体血管移植术修复左锁骨下动脉1根。术中输血量1 000～11 000 mL,平均3 800 mL。结果　所有患者均抢救成功，伤口Ⅰ期愈合，经1～3年随访，无神经功能障碍。结论　颈动脉损伤救治成功的关键在于尽早做出诊断，快速有效的急救及选择正确的治疗方法。

Citation： ZHONG Fenglin,ZHAO Chenyang,LAN Yuping,FU Li. Treatment on Carotid Artery Trauma. West China Medical Journal, 2012, 27(12): 1852-1854. doi: Copy

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13.	Ohba S, Kuroshima Y, Mayanagi K, et al. Traumatic aneurysm of the supraclinoid internal carotid artery-case report[J]. Neurol Med Chir (Tokyo), 2009, 49(12): 587-589.
14.	朱晓峰, 战鹏, 徐世庆.锁骨下动脉抢救3例[J].中国心血管病研究杂志, 2004, 2(3): 212.
15.	陈宇轩, 韩小宪, 张庆诗. 椎动脉损伤的诊断与治疗[J].现代口腔医学杂志, 2004, 18(6): 523-525.
16.	Tsai YH, Wong HF, Weng HH, et al. Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm[J]. Neuroradiology, 2010, 52(11): 1011-1016.
17.	Antoniv VF, Antoniv TV, Pronchenko SV, et al. A foreign body in the neck with injured larynx and common carotid artery[J]. Vestn Otorinolaringol, 2009 (5): 63-64.

1. 　段志泉, 张强. 实用血管外科学[M]. 沈阳: 辽宁科学技术出版社, 1999: 221-224.
2. 　左可军, 徐睿, 赖银妍, 等. 经鼻内镜手术颈内动脉损伤的紧急处理与接续治疗[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(7): 554-558.
3. 　Papanagiotou P, Roth C, Walter S, Haass A, et al. Angiographic evidence of reperfusion injury after carotid artery stenting[J]. J Am Coll Cardiol, 2012, 60(5): 7.
4. 　Malan J, Lefeuvre D, Mngomezulu V, et al. Angioarchitecture and treatment modalities in posttraumatic carotid cavernous fistulae[J]. Interv Neuroradiol, 2012, 18(2): 178-186.
5. 　Kaouel K, Mechergui S, Ben Mrad I, et al. Surgical management of extracranial carotid artery aneurysm[J]. J Mal Vasc, 2012, 37(4): 201-206.
6. 　Kumar A, Ahmed J, Reading N, et al. Life-threatening carotid haemorrhage following blunt trauma[J]. J Laryngol Otol, 2010, 124(9): 1030-1032.
7. 　Nicosia A, Nikas DN, Castriota F, et al. Diagnosis and management of periprocedural complications of carotid artery stenting[J]. G Ital Cardiol (Rome) , 2009, 10(11-12): 718-724.
8. 　Erkut B, Ateş A, Alper F, et al. Traumatic pseudoaneurysm of the right common carotid artery due to injury below the left clavicle[J]. Turk Kardiyol Dern Ars, 2010, 38(1): 70.
9. 　Gladstone G, Rina PM, Renato PS, et al. Evaluation of the criteria for angiotomography indications in the diagnosis of carotid and vertebral arterial injury associated with blunt trauma[J]. World J Emerg Surg, 2010, 26(5): 17.
10. 　Rivet C, Schoen V, Michel X, et al. Traumatic carotid-artery dissection[J]. Rev Prat, 2010, 60(2):170.
11. 　Rajz G, Simon D, Bakon M, et al. Traumatic carotid artery dissection[J]. Isr Med Assoc J, 2009, 11(8): 507-508.
12. 　郭起, 刘宏鹏, 王俊莲, 等.颈总动脉损伤抢救6例报告[J].口腔颌面外科杂志, 2006, 16(1): 62-63.
13. 　Ohba S, Kuroshima Y, Mayanagi K, et al. Traumatic aneurysm of the supraclinoid internal carotid artery-case report[J]. Neurol Med Chir (Tokyo), 2009, 49(12): 587-589.
14. 　朱晓峰, 战鹏, 徐世庆.锁骨下动脉抢救3例[J].中国心血管病研究杂志, 2004, 2(3): 212.
15. 　陈宇轩, 韩小宪, 张庆诗. 椎动脉损伤的诊断与治疗[J].现代口腔医学杂志, 2004, 18(6): 523-525.
16. 　Tsai YH, Wong HF, Weng HH, et al. Stent-graft treatment of traumatic carotid artery dissecting pseudoaneurysm[J]. Neuroradiology, 2010, 52(11): 1011-1016.
17. 　Antoniv VF, Antoniv TV, Pronchenko SV, et al. A foreign body in the neck with injured larynx and common carotid artery[J]. Vestn Otorinolaringol, 2009 (5): 63-64.

West China Medical Journal

Treatment on Carotid Artery Trauma

Abstract Full text Figures/Tables Video References Cited by

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