Kulyapina Alena, Díaz Dolores Pérez, Rodríguez Teresa Sanchez, Fuentes Fernando Turegano
Department of Maxillofacial Surgery, Gregorio Marañón General University Hospital, Madrid, Spain
Department of General Surgery, Gregorio Marañón General University Hospital, Madrid, Spain.
Asian Cardiovasc Thorac Ann. 2015 May;23(4):478-80. doi: 10.1177/0218492314540918. Epub 2014 Jun 19.
Penetrating injuries in the base of the neck are considered to be the most dangerous due to the potential combination of vascular and intrathoracic lesions. We describe an extremely rare case of combined injury of the trachea and innominate artery, which resulted in formation of a traumatic acute tracheoinnominate fistula. Previously, these fistulas have been described as an iatrogenic complication of tracheostomy, presenting with massive peristomal bleed or hemoptysis. This case demonstrates that a combination of lesions to vital anatomical structures in the neck can change their clinical presentation, making them extremely difficult to diagnose.
由于颈部根部穿透伤可能合并血管和胸内损伤，因此被认为是最危险的。我们描述了一例极其罕见的气管和无名动脉联合损伤病例，该损伤导致了创伤性急性气管无名动脉瘘的形成。此前，这些瘘被描述为气管切开术的医源性并发症，表现为造口周围大量出血或咯血。该病例表明，颈部重要解剖结构的联合损伤会改变其临床表现，使其极难诊断。
