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颈动脉开放性损伤的救治体会
引用本文:胡昌明,;廖瑞恒. 颈动脉开放性损伤的救治体会[J]. 现代医院, 2014, 0(7): 60-61
作者姓名:胡昌明,  廖瑞恒
作者单位:[1]中山火炬开发区医院,广东中山528437; [2]岳阳市第一人民医院,湖南岳阳414000
摘    要:目的探讨9例颈动脉损伤患者施救经过、术式选择。方法 9例患者入院后经积极抗休克治疗,上段及中段急诊行胸锁乳突肌前缘切口,下段行颈胸联合切口,手术探查分别行颈外动脉结扎、颈总动脉、颈内动脉端端吻合或修补。结果 9例伤员,死亡2例,偏瘫、失语1例,声音嘶哑、饮水呛咳1例,5例痊愈。结论早期诊断,及时有效的止血,血管修复,尽快恢复颈动脉血流和必要的脑保护措施是降低病死率,减少神经系统并发症的关键。

关 键 词:颈动脉  开放性损伤  颈胸联合切口

EXPERIENCE IN RESCUING PATIENTS WITH OPEN CAROTID INJURY
Affiliation:HU Changming, LIAO Ruiheng( Department of General Surgery, Zhongshan Torch Development Hospital, Zhongshan City 528437, Guangdong Province, China)
Abstract:Objective To discuss the rescuing process and the selection of operating method of 9 cases of patients with carotid artery injury. Methods 9 patients received positive anti- shock treatment after admission. Anterior sternocleidomastoid incision was made in the upper and middle section,and cervicothoracic incision was made in the lower section. Then ligature of external carotid artery and repair and danastomosis of common carotid artery and internal carotid artery were examined. Results Among the 9 cases,2 were dead,1 had hemiplegic paralysis and aphasia,1 had hoarseness and drink cough and 5 others were cured. Conclusion Early diagnosis,effective haemostasis,reconstruction of carotid artery and necessary brain protection are the key to reducing the mortality and decreasing the morbidity of neurological deficit.
Keywords:Carotid artery  Patulous injury  Cervical thoracic incision
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