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采用“区域”方法与影像学检查相结合治疗穿透性椎动脉损伤：一例报告

Penetrating vertebral artery injury treated by combining the "zone" approach and imaging tests: A case report.

作者信息

Ichibayashi Ryo, Suzuki Ginga, Nakamichi Yoshimi, Yamamoto Saki, Serizawa Hibiki, Watanabe Masayuki, Harada Masashi, Harada Naoyuki, Honda Mitsuru

机构信息

Department of Critical Care Center Toho University Medical Center Omori Hospital Ota-ku Japan.

Department of Neurosurgery Toho University Medical Center Omori Hospital Ota-ku Japan.

出版信息

Clin Case Rep. 2021 Nov 22;9(11):e05134. doi: 10.1002/ccr3.5134. eCollection 2021 Nov.

DOI:10.1002/ccr3.5134
PMID:34849232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8609188/
Abstract

Patients with vertebral artery injury from penetrating neck trauma may not present with signs of vascular injury because of anatomical characteristics and concomitant conditions, such as hypothermia and shock. If patients are hemodynamically stable, imaging tests should be performed to examine the posterior components, including the vertebral artery.

摘要

由于解剖学特征以及诸如体温过低和休克等伴随情况，穿透性颈部创伤所致椎动脉损伤的患者可能不会表现出血管损伤的体征。如果患者血流动力学稳定，应进行影像学检查以检查包括椎动脉在内的后部结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/04a6c7f2d445/CCR3-9-e05134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/47685ac43ddf/CCR3-9-e05134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/861f42e2e51c/CCR3-9-e05134-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/04a6c7f2d445/CCR3-9-e05134-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/47685ac43ddf/CCR3-9-e05134-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/861f42e2e51c/CCR3-9-e05134-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2cf6/8609188/04a6c7f2d445/CCR3-9-e05134-g001.jpg

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本文引用的文献

1
Vertebral Artery Injury in the Cervical Spine: Anatomy, Diagnosis, and Management.颈椎中的椎动脉损伤：解剖、诊断与处理
JBJS Rev. 2021 Jan 19;9(1):e20.00118. doi: 10.2106/JBJS.RVW.20.00118.
2
Penetrating injuries to the vertebral artery: interventions and outcomes from US Trauma Centers.经椎动脉穿透性损伤：美国创伤中心的介入治疗和结果。
Eur J Trauma Emerg Surg. 2022 Feb;48(1):481-488. doi: 10.1007/s00068-020-01416-y. Epub 2020 Jun 21.
3
POSTERIOR PENETRATING INJURY OF THE NECK: A CASE REPORT.颈部后穿透伤：一例报告
Acta Clin Croat. 2018 Dec;57(4):776-779. doi: 10.20471/acc.2018.57.04.22.
4
Selective management of penetrating neck injuries using "no zone" approach.采用“无区域”方法对穿透性颈部损伤进行选择性处理。
Injury. 2015 Sep;46(9):1720-5. doi: 10.1016/j.injury.2015.06.019. Epub 2015 Jun 16.
5
Management of penetrating neck injuries at a London trauma centre.伦敦创伤中心穿透性颈部损伤的处理。
Eur Arch Otorhinolaryngol. 2013 Jul;270(7):2123-8. doi: 10.1007/s00405-012-2324-9. Epub 2012 Dec 23.
6
Trauma patients with the 'triad of death'.创伤患者的“死亡三联征”。
Emerg Med J. 2012 Aug;29(8):622-5. doi: 10.1136/emj.2011.113167. Epub 2011 Jul 23.
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Therapeutic endovascular treatments for traumatic vertebral artery injuries.创伤性椎动脉损伤的血管内治疗
J Trauma. 2007 Apr;62(4):886-91. doi: 10.1097/01.ta.0000209398.07973.60.
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A case of cerebellar infarction caused by vertebral artery injury from a stab wound to the neck.一例因颈部刺伤导致椎动脉损伤引起的小脑梗死病例。
Auris Nasus Larynx. 2007 Sep;34(3):431-4. doi: 10.1016/j.anl.2006.10.001. Epub 2006 Dec 29.
9
Management of extra-cranial vertebral artery injuries.颅外椎动脉损伤的管理
Eur J Vasc Endovasc Surg. 2004 Feb;27(2):157-62. doi: 10.1016/j.ejvs.2003.11.008.
10
Penetrating zone II neck injury: does dynamic computed tomographic scan contribute to the diagnostic sensitivity of physical examination for surgically significant injury? A prospective blinded study.穿透性颈部Ⅱ区损伤：动态计算机断层扫描对具有手术意义损伤的体格检查诊断敏感性有帮助吗？一项前瞻性盲法研究。
J Trauma. 2003 Jan;54(1):61-4; discussion 64-5. doi: 10.1097/00005373-200301000-00008.