损伤性颈总动脉瘤的外科治疗

<正> 损伤性颈总动脉瘤较为罕见。若不治疗,则将发生动脉瘤破裂、出血、脑血管栓塞;若处理不当,常致脑缺血、昏迷、偏瘫死亡。现报道我院收治的2例损伤性颈总动脉瘤,并讨论有关诊断和治疗中的几个问题。例1:男孩,2岁半。1981年4月25日入院。2月前,因跑步跌倒,被口中含的筷子剌入右咽喉,出血不止,经县医院治疗止血。随后,右颈部出现包块。先后经5所医院诊查,曾穿刺包块内为鲜血。体检:贫血征。右颈部有4×4×5厘米之搏动性肿块,质硬,稍具压缩性,有收缩划杂音伴震

SURGICAL TREATMENT OF TRAUMATIC ANEURYSM OF CAROTID ARTERY

This paper reports 2 patients of traumatic common carotid aneurysm cured by aneurysmodesis, aneurysmectomy and arterial reconstruction with excellent effect, The diagnosis and technique of operation were breifly discussed. Aneurysmodesis is the simpler technique, but aneurysmectomy and arterial reconstruction is more ideal. To prevent cerebral nervous damage is a main key of decreasing morbidity and fatatity rate.