穿透性颈动脉损伤——战时经验

Penetrating carotid injuries--a wartime experience.

作者信息

Jebara V A, Tabet G S, Ashoush R, Ghossain M, Harb J, Portoghese M, Uva M S, Saade B

机构信息

Department of Thoracic and Cardiovascular Surgery, Hôtel Dieu de France, University Hospital, Beirut, Lebanon.

出版信息

J Vasc Surg. 1991 Jul;14(1):117-20.

PMID:2061952

Abstract

Thirty-nine patients with penetrating carotid injuries were treated between 1975 and 1987. All were war victims. On admission 27 (69%) had no neurologic deficit (group I), 8 (20.5%) had a mild neurologic deficit (group II), and 4 (10.5%) had a severe deficit (group III). Repair was undertaken in 38 of 39 (97.5%) patients, and carotid ligation was performed in 1 case (2.5%). Associated injuries were found in 25 (65%) patients. All patients survived. At the time of discharge all group I and II patients had a normal neurologic examination. One patient in group III recovered completely, whereas two had significant improvement. One patient remained unchanged. We conclude that repair should be attempted in all patients with carotid injuries who are seen early (less than 120 minutes) after the accident.

摘要

1975年至1987年间，对39例颈动脉穿透伤患者进行了治疗。所有患者均为战争受害者。入院时，27例（69%）无神经功能缺损（I组），8例（20.5%）有轻度神经功能缺损（II组），4例（10.5%）有严重缺损（III组）。39例患者中的38例（97.5%）进行了修复，1例（2.5%）进行了颈动脉结扎。25例（65%）患者发现有合并伤。所有患者均存活。出院时，所有I组和II组患者神经检查均正常。III组中有1例患者完全康复，2例有明显改善。1例患者病情无变化。我们得出结论，对于事故后早期（少于120分钟）就诊的所有颈动脉损伤患者，均应尝试进行修复。