Hetz S P, Frykberg E R, Northup H M, West D L, Alexander R H
Department of Surgery, Eisenhower Army Medical Center, Fort Gordon, Ga.
South Med J. 1989 Aug;82(8):1037-40. doi: 10.1097/00007611-198908000-00026.
We have reported a case of traumatic vertebral artery transection discovered during an emergency neck exploration for penetrating injury with acute hemorrhage. Knowledge of the surgical anatomy of this vessel and awareness of the treatment alternatives that must be considered for its acute injury are important. A cooperative approach between the surgeon, anesthesiologist, and radiologist in this case, using a combination of anesthetic hypotension, surgical tamponade, and angiographic embolization, resulted in a successful outcome in this difficult case.
我们报告了一例在因穿透伤伴急性出血进行紧急颈部探查时发现的创伤性椎动脉横断病例。了解该血管的手术解剖结构以及对其急性损伤必须考虑的治疗选择的认识非常重要。在该病例中，外科医生、麻醉师和放射科医生采用联合方法，结合麻醉性低血压、手术压迫和血管造影栓塞，使这一疑难病例获得了成功的治疗结果。
