Massey B, Juhasz K, Licata J, Schell S, English G
University of Pittsburgh Medical Center, Hamot, Erie, PA, United States of America.
Ear Nose & Throat Specialists of Northwestern Pennsylvania, Erie, PA, United States of America.
Trauma Case Rep. 2019 Feb 15;20:100177. doi: 10.1016/j.tcr.2019.100177. eCollection 2019 Apr.
We describe a case of traumatic lingual hematoma in a patient on dual antiplatelet therapy. After securing the airway, bilateral lingual artery embolization successfully halted expanding hematoma formation. Patient subsequently required tracheostomy for continued airway edema. Although patient course was wrought with postoperative complications, we review this case to illustrate how prompt hematoma evacuation and embolization can resolve significant vasovagal bradycardia and hypotension secondary to expansile lingual hematoma.
我们描述了一例接受双重抗血小板治疗的患者发生创伤性舌血肿的病例。在确保气道安全后，双侧舌动脉栓塞成功阻止了血肿的扩大。患者随后因气道持续水肿而需要气管切开术。尽管患者病程中充满了术后并发症，但我们回顾此病例以说明及时的血肿清除和栓塞如何能够解决因扩张性舌血肿继发的严重血管迷走性心动过缓和低血压。
