Davis J W, Holbrook T L, Hoyt D B, Mackersie R C, Field T O, Shackford S R
Division of Trauma, UCSD Medical Center 92103.
J Trauma. 1990 Dec;30(12):1514-7.
Blunt carotid dissection (BCD) is a rare injury occurring in less than one in 1,000 victims of blunt injuries. Using a 4-year experience in a trauma system with 14 cases of BCD, we performed a matched blunt trauma patient case-control analysis to determine if there were patterns of injuries that were associated with increased risk of BCD. Patients with combinations of head, facial, and cervical spine injuries with or without extremity fractures proved to be at significantly increased risk for BCD. Duplex scanning appears to be a useful screening tool for these patients. Anticoagulation was the preferred treatment once neurologic deficits were present.
钝性颈动脉夹层（BCD）是一种罕见的损伤，在钝性损伤患者中发生率低于千分之一。我们利用一个创伤系统4年里收治的14例BCD病例，进行了钝性创伤患者匹配病例对照分析，以确定是否存在与BCD风险增加相关的损伤模式。伴有或不伴有四肢骨折的头部、面部和颈椎损伤组合的患者，其BCD风险显著增加。双功超声扫描似乎是这些患者有用的筛查工具。一旦出现神经功能缺损，抗凝治疗是首选治疗方法。
