Cheddie Shalen, Pillay Bala, Goga Riaz
Department of General Surgery, University of Kwa-Zulu Natal, Durban, South Africa.
S Afr J Surg. 2013 May 3;51(2):77-9. doi: 10.7196/sajs.1381.
A 22-year-old man sustained a strangulation-type injury to the neck, with bilateral blunt carotid artery injuries detected on computed tomography (CT) angiography. His Glasgow Coma Score was 15/15, and he was managed conservatively with therapeutic low-molecular-weight heparin and antiplatelet therapy. A repeat CT angiogram 6 weeks later showed complete resolution of an intimal flap, and he demonstrated no neurological deterioration. There are no definitive management guidelines regarding this type of injury, and our report emphasises the role of conservative anticoagulation therapy in the management of this rare condition.
一名22岁男性颈部遭受绞勒型损伤,计算机断层扫描(CT)血管造影显示双侧颈总动脉钝性损伤。他的格拉斯哥昏迷评分为15分,采用低分子肝素治疗和抗血小板治疗进行保守治疗。6周后复查CT血管造影显示内膜瓣完全消失,且他未出现神经功能恶化。对于这类损伤尚无明确的治疗指南,我们的报告强调了保守抗凝治疗在这种罕见病症治疗中的作用。