Fletcher J P, Little J M
Department of Surgery, University of Sydney, NSW.
Aust N Z J Surg. 1988 Mar;58(3):217-9. doi: 10.1111/j.1445-2197.1988.tb01042.x.
Injuries to the carotid, subclavian, axillary and vertebral arteries have comprised 19.5% of vascular trauma seen at Westmead Hospital during the period 1979-86. The cause of injury was penetrating trauma in 38.5% of cases, and blunt trauma, due mainly to motor vehicle or motor bike accident, in 61.5% of cases. In most cases (77%) the vascular injury was apparent because of large and/or expanding haematoma or overt haemorrhage. There was a large incidence of associated injury with head injury in 46% and brachial plexus injury in 31%. The mortality was high (46%), with most patients dying from the associated head injury, but one patient died from stroke after presenting with a neurological deficit associated with a carotid injury.
1979年至1986年期间，在韦斯特米德医院所见的血管创伤中，颈动脉、锁骨下动脉、腋动脉和椎动脉损伤占19.5%。损伤原因在38.5%的病例中为穿透性创伤，在61.5%的病例中为钝性创伤，主要是由于机动车或摩托车事故所致。在大多数病例（77%）中，由于大血肿和/或血肿扩大或明显出血，血管损伤很明显。合并头部损伤的发生率很高（46%），合并臂丛神经损伤的发生率为31%。死亡率很高（46%），大多数患者死于合并的头部损伤，但有一名患者在出现与颈动脉损伤相关的神经功能缺损后死于中风。
