颈动脉损伤。

Carotid artery injuries.

作者信息

Brown M F, Graham J M, Feliciano D V, Mattox K L, Beall A C, DeBakey M E

出版信息

Am J Surg. 1982 Dec;144(6):748-53. doi: 10.1016/0002-9610(82)90563-3.

Abstract

One-hundred twenty-nine patients with carotid artery injuries were analyzed to compare the results of revascularization with those of ligation or occlusion. In patients who present with central neurologic deficit short of coma (Grades 1 to 4), revascularization is clearly the operative method of choice. Revascularization in patients with preoperative coma (Grade 5) is also indicated when ischemia has only been present for a short period of time before surgery. Controlling cerebral edema and minimizing infarct size in patients with severe deficits may be essential to optimize the chance of recovery of these patients.

摘要

对129例颈动脉损伤患者进行分析，以比较血管重建术与结扎或闭塞术的结果。对于出现中枢神经功能缺损但未昏迷的患者（1至4级），血管重建术显然是首选的手术方法。术前昏迷（5级）的患者，若术前仅存在短时间的缺血，也建议进行血管重建术。控制严重功能缺损患者的脑水肿并将梗死灶大小降至最低，对于优化这些患者的恢复机会可能至关重要。