Samra Navdeep S, Ravi Ajay K, Johnson Lester W, Williams Mallory
Louisiana State University Health Sciences Center-Shreveport, USA.
J La State Med Soc. 2011 Jan-Feb;163(1):26-8.
Bilateral carotid artery dissection following blunt trauma is a rare but potentially lethal injury if not diagnosed early and treated.
We report a collision patient who suffered bilateral asymptomatic carotid artery dissections. He also had multiple fractures of the pelvis and upper and lower extremities. The patient was managed acutely with aspirin. He underwent open reduction and internal fixation of fractures without complication and was discharged home on aspirin.
Carotid artery dissections are increasingly being recognized in blunt trauma patients. Management options include systemic anticoagulation versus antiplatelet therapy. The need to acutely address the carotid artery injury must be balanced with the need for hemostasis with associated solid organ injury and/or future operative procedures.
Carotid artery dissections should be screened for in patients with appropriate mechanism of injury. This case report details the successful management of a patient of bilateral carotid artery dissection and other major orthopedic injuries using aspirin.
钝性创伤后双侧颈动脉夹层是一种罕见但如果不及早诊断和治疗可能致命的损伤。
我们报告一名碰撞伤患者，其双侧颈动脉出现无症状夹层。他还伴有骨盆及上下肢多处骨折。患者急性期接受阿司匹林治疗。他接受了骨折切开复位内固定术，未出现并发症，出院时继续服用阿司匹林。
钝性创伤患者中颈动脉夹层越来越受到关注。治疗选择包括全身抗凝与抗血小板治疗。必须在紧急处理颈动脉损伤的需求与因相关实体器官损伤和/或未来手术操作而进行止血的需求之间取得平衡。
对于有适当损伤机制的患者应筛查颈动脉夹层。本病例报告详细介绍了一名双侧颈动脉夹层及其他严重骨科损伤患者使用阿司匹林成功治疗的情况。
