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成功手术修复左侧颈总动脉枪伤且无神经功能缺损:一例报告

A successful surgical repair of a gunshot injury to the left common carotid artery without neurological deficiency: A case report.

作者信息

Ali Abdijalil Abdullahi, Hussein Abdinafic Mohamud, Abdi Hassan Kalif, Mohamed Ahmed Omar, Ali Ali Abdulkadir, Ucaroglu Erhan Renan

机构信息

Department of Cardiovascular Surgery, Mogadishu, Somalia Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Somalia.

出版信息

Ann Med Surg (Lond). 2022 Jul 12;80:104173. doi: 10.1016/j.amsu.2022.104173. eCollection 2022 Aug.

Abstract

INTRODUCTION AND IMPORTANCE

Penetrating neck trauma is serious and has a high fatality rate, especially in individuals who suffer injuries to the common carotid artery. The mortality rates for penetrating neck trauma are estimated to be 3%-6%. Accidents that cause a lot of blood to flow, like being stabbed, shot, or hurt in a car accident, can cause a person to lose a lot of blood quickly and in a short amount of time, which can be fatal if not treated right away.

CLINICAL PRESENTATION

we present a 26-year-old young male patient with penetrating neck trauma caused by a gunshot. The gunshot entered the right sternocleidomastoid muscle at the level of the hyoid bone and exited the left sternocleidomastoid muscle on the mid side.

CLINICAL DISCUSSION

In a recent report on the management of major vascular injuries to the neck, carotid artery injuries accounted for about 17% of all patients presenting with penetrating neck injuries. In this case, previously published literature adds that carotid artery injury early surgical and primary repair in young patients has a good outcome.

CONCLUSION

Considering the high morbidity and mortality associated with penetrating neck injuries, In young patients, they can be successfully managed with early surgical and primary repair with a good outcome.

摘要

引言与重要性

颈部穿透伤病情严重,死亡率高,尤其是累及颈总动脉的伤者。颈部穿透伤的死亡率估计为3% - 6%。诸如被刺伤、枪击或在车祸中受伤等导致大量出血的事故,可使患者在短时间内迅速失血,若不及时治疗可能致命。

临床表现

我们报告一名26岁因枪伤导致颈部穿透伤的年轻男性患者。子弹在舌骨水平进入右侧胸锁乳突肌,并从左侧胸锁乳突肌中部穿出。

临床讨论

在最近一份关于颈部主要血管损伤处理的报告中,颈动脉损伤约占所有颈部穿透伤患者的17%。在此病例中,既往发表的文献补充指出,年轻患者早期进行颈动脉损伤手术及一期修复效果良好。

结论

鉴于颈部穿透伤相关的高发病率和死亡率,对于年轻患者,早期手术及一期修复可成功处理且效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5c1/9287765/af15cb5044d3/gr1.jpg

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