Povýsil P, Slovácek R, Adámek M, Krupka B
Chirurgické oddĕlení, Vsetínská nemocnice a.s.
Rozhl Chir. 2009 Dec;88(12):704-7.
Blunt injury of the carotid artery is uncommon but serious injury with high mortality and morbidity. The symptomatology may be inconspicuous, in other case a neurological deficit is present. The cause is mainly head hyperexstension and rotation, basal scull fracture, compression, blunt stroke. The diagnosis is usually confirmed by CT scan, CT angiography, MRI. In the therapy in present prevail heparin anticoagulation and endovascular stent implantation in some cases.
颈动脉钝性损伤并不常见，但却是一种严重损伤，死亡率和发病率都很高。症状可能不明显，在其他情况下则会出现神经功能缺损。其病因主要是头部过度伸展和旋转、颅底骨折、压迫、钝器撞击。诊断通常通过CT扫描、CT血管造影、MRI来确认。目前的治疗方法主要是肝素抗凝，在某些情况下进行血管内支架植入。
