Sadeghi John K, Nofi Colleen, Frankini Larry A, Landis Gregg S, Etkin Yana
Department of Surgery at Northshore-LIJMC, Northwell Health, Division of Vascular and Endovascular Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY.
J Vasc Surg Cases Innov Tech. 2020 Aug 21;6(4):528-530. doi: 10.1016/j.jvscit.2020.07.018. eCollection 2020 Dec.
There are few trials assessing the risks and benefits of performing a cervical plexus block (CPB) in urgent carotid endarterectomies (CEA). We describe a case of a patient who underwent urgent CEA under CPB and suffered a complication of postoperative epiglottic hematoma. There were clinical findings that helped to distinguish the hematoma from other, more common postoperative complications. The mainstay of treatment was steroids and observation. Epiglottic hematomas after cervical blocks for CEAs are rare but potentially lethal complications. More research is needed investigating complications related to CPBs performed for CEAs.
很少有试验评估在急诊颈动脉内膜切除术（CEA）中进行颈丛阻滞（CPB）的风险和益处。我们描述了一例在CPB下接受急诊CEA的患者，术后出现会厌血肿并发症。有一些临床发现有助于将血肿与其他更常见的术后并发症区分开来。治疗的主要方法是使用类固醇并进行观察。CEA颈丛阻滞后的会厌血肿是罕见但可能致命的并发症。需要更多研究来调查与CEA中进行的CPB相关的并发症。
