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竹棍致颈部血管损伤 1 例报告。

Vascular Injury to the Neck by a Bamboo Stick: A Case Report.

机构信息

Department of Surgery, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal.

Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Jan 15;60(245):90-92. doi: 10.31729/jnma.7180.

Abstract

Penetrating neck injuries causing rupture of sternocleidomastoid muscle along with transection of major vessels of the neck have significant morbidity and mortality due to the risk of severe hemorrhage and cerebral infarction. However, there are no universal guidelines for the management of penetrating neck injuries. Here, we report a case of a 67-year-old female with a lacerated wound on the left side of the neck with a complete transection of the left sternocleidomastoid muscle along with transection of internal jugular vein and two superficial branches of internal carotid artery following penetrating injury to the neck by a bamboo stick. It was managed by emergency wound exploration with ligation of the injured vessels with repair of sternocleidomastoid muscle. Post-operatively the hemorrhage was controlled and the patient was discharged on the fourth postoperative day. Thus, in a case of penetrating injury to the neck, prompt surgical wound exploration is beneficial.

摘要

穿透性颈部损伤导致胸锁乳突肌破裂,并伴有颈部大血管横断,由于严重出血和脑梗死的风险,其发病率和死亡率很高。然而,对于穿透性颈部损伤,目前尚无通用的管理指南。在这里,我们报告了一例 67 岁女性病例,其左侧颈部有一处裂伤伤口,左侧胸锁乳突肌完全断裂,同时伴有颈内静脉和两支颈内动脉浅支断裂,这是由竹棍穿透颈部造成的损伤。通过紧急伤口探查,对受伤血管进行结扎,并修复胸锁乳突肌进行治疗。术后出血得到控制,患者在术后第 4 天出院。因此,对于穿透性颈部损伤,及时进行手术伤口探查是有益的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d846/9157659/4364249e8fa6/JNMA-60-245-90-g1.jpg

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