Lin Hsing-Lin, Lin Yen-Ko, Kuo Liang-Chi, Lee Wei-Che, Chen Chao-Wen, Lin Jiun-Nong
Department of Trauma, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Am J Emerg Med. 2008 Sep;26(7):841.e3-5. doi: 10.1016/j.ajem.2008.01.041.
Transection of the carotid artery is very rare in Taiwan owing to tight gun control. Most carotid artery injuries are caused by penetration wounds as a result of stabbing or shooting. The total transection of internal and external common arteries is very rarely encountered, and most surgeons lack experience of this intervention. We present a very rare patient who had his right neck cut caused by a flying piece of sheet metal during a typhoon. The case was sent to our emergency department without any vital signs. Intubation was performed into the perforation of larynx with aggressive resuscitation. The patient regained his heart rate and blood pressure after several minutes of cardiopulmonary resuscitation. Then he was sent to operating room, where tracheostomy was performed and bleeding was controlled by ligation of all bleeding arteries including internal and external carotid arteries. Two days later, the patient died, however. We reviewed the literatures and discussed the case.
由于台湾严格的枪支管制，颈动脉横断伤非常罕见。大多数颈动脉损伤是由刺伤或枪击导致的穿透伤引起的。颈总动脉内外侧完全横断的情况极为罕见，大多数外科医生缺乏这种手术干预的经验。我们报告了一位非常罕见的患者，他在台风期间被一块飞来的金属薄板割伤右颈部。该病例被送至我们的急诊科时已无生命体征。在积极复苏的同时，通过喉穿孔处进行插管。经过几分钟的心肺复苏，患者恢复了心率和血压。随后他被送往手术室，在那里进行了气管切开术，并通过结扎包括颈内动脉和颈外动脉在内的所有出血动脉来控制出血。然而，患者在两天后死亡。我们查阅了文献并讨论了该病例。
