颈部大血管损伤的临床处理探讨

目的：总结颈部大血管损伤的临床诊断、处理体会。方法：回颐分析12例颈部大血管损伤患者的临床资料，对致伤原因、急救方法、结果、并发症等进行分析。结果：12例患者无一例死亡，无严重并发症。结论：对颈部外伤患者．应高度重视颈部大血管损伤的可能，迅速填塞加局部压迫止血是现场急救的重要措施之一，良好的暴露是手术成功的关键．抗休克、气管插管全身麻醉、急救手术对于减少并发症、提高救治率十分重要。

Management of major cervical vessel injury:Clinical experience

PURPOSE: To review the diagnosis and management of injury of the major cervical vessels. METHODS: The clinical data of 12 cases with injury of the major cervical vessels were analyzed retrospectively. The causes of injury, emergency management, outcomes and complications were investigated. RESULTS: Among 12 cases, no death and no severe complications developed through appropriate management. CONCLUSIONS: For patients with cervical injury, the possibility of vascular injury should be considered. The key to salvage on spot is hemostasis by local compression with rapid filling. Complete exposure of the vessels is the key to success of surgical salvage. Anti-shock measures, endotracheal intubation general anesthesia and immediate operation are mandatory to improvement of treatment outcomes.