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Emergent surgical repair for penetrating injury of the cervical carotid artery associated with shock.

作者信息

Hara Yoshie, Yamashita Haruo, Ohta Kohei, Kozawa Syuichi, Nakamura Masahiko

机构信息

Department of Neurosurgery, Hyogo Emergency Medical Center and Kobe Red Cross Hospital, Kobe, Hyogo, Japan.

出版信息

Neurol Med Chir (Tokyo). 2009 Jul;49(7):300-2. doi: 10.2176/nmc.49.300.

DOI:10.2176/nmc.49.300
PMID:19633401
Abstract

A 41-year-old male presented with penetrating carotid artery injury after being stabbed in the left neck with a knife. He had profuse bleeding from the wound and was in hemorrhagic shock. No neuroimaging evaluation was possible, so emergent surgery was begun with continuous manual compression of the left neck. Graft reconstruction of the injured carotid artery was performed. He recovered well without neurological deficits. Urgent hemostasis is required for patients with penetrating carotid artery injury presenting with shock. Surgical reconstruction of the carotid artery with a vascular graft is a safe option.

摘要

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