Dragon R, Saranchak H, Lakin P, Strauch G
Am J Surg. 1981 Apr;141(4):497-500. doi: 10.1016/0002-9610(81)90147-1.
A small series of patients with blunt injury to eigher a carotid or vertebral artery is presented. In three patients the injury was recognized relatively promptly. Two underwent surgery and one was observed with reasonably good results. In two patients the injury was unrecognized, resulting in death in one patient and in a severe, fixed, long-term neurologic deficit in the other. It appears likely that reconstruction may be the treatment of choice in any patient with angiographically proven injury unless coma or severe dense hemiplegia is present.
本文报告了一小系列颈总动脉或椎动脉钝性损伤的患者。3例患者的损伤被相对及时地识别。2例接受了手术，1例接受观察，效果较好。2例患者的损伤未被识别，1例死亡，另1例出现严重、固定的长期神经功能缺损。除非存在昏迷或严重的偏瘫，否则对于血管造影证实有损伤的任何患者，重建术似乎可能是首选的治疗方法。
