Singh R R, Barry M C, Ireland A, Bouchier Hayes D
Department of Vascular Surgery, Royal College of Surgeons in Ireland, Beaumont Hospital, Beaumont Road, Dublin 9, Ireland.
Eur J Vasc Endovasc Surg. 2004 Jun;27(6):577-84. doi: 10.1016/j.ejvs.2004.01.005.
Blunt carotid artery injury (BCI) is a rare but potentially devastating injury. When undiagnosed it can result in severe disability or death.
A Medline-based literature search was performed using key words 'blunt carotid injury' and cross-referenced with further original papers obtained from the references from this search.
The incidence of BCI is very low. However, given the serious consequences of a missed injury, recent efforts have focussed on targeted screening for this injury in trauma patients. Conventional angiography remains the investigation of choice but may be superceded in the future by non-invasive methods such as magnetic resonance angiography or CT angiography. Operative intervention is rarely required and anti-coagulation remains the treatment of choice where dissection or pseudoaneurysm is diagnosed. The role of anti-platelet therapy is currently being investigated. Endovascular management using stents has been described but medium to long term results are not yet available.
钝性颈动脉损伤（BCI）是一种罕见但可能具有毁灭性的损伤。若未被诊断出来，可能会导致严重残疾或死亡。
基于Medline进行文献检索，使用关键词“钝性颈动脉损伤”，并与通过此次检索参考文献获得的其他原始论文进行交叉引用。
BCI的发病率非常低。然而，鉴于漏诊损伤的严重后果，近期的工作重点是对创伤患者进行针对性筛查。传统血管造影仍是首选的检查方法，但未来可能会被磁共振血管造影或CT血管造影等非侵入性方法所取代。很少需要进行手术干预，在诊断为夹层或假性动脉瘤时，抗凝治疗仍是首选治疗方法。抗血小板治疗的作用目前正在研究中。已经描述了使用支架的血管内治疗，但尚无中长期结果。
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