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[紧急情况:头颈部区域的创伤性动脉瘤]

[The emergency: traumatic aneurysm in the area of the head-neck].

作者信息

Weber R, Keerl R, Hendus J, Kahle G

机构信息

Klinik für HNO-Krankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Klinikum Fulda.

出版信息

Laryngorhinootologie. 1993 Feb;72(2):86-90. doi: 10.1055/s-2007-997861.

Abstract

Bleeding of aneurysm of cervical arteries is an emergency situation in ENT surgery. Compression of trachea and big cervical veins together with blood loss needs immediate treatment. Three cases are demonstrated presenting diagnostic and therapeutic management of one spontaneous respectively posttraumatic aneurysm of the inferior thyroid artery, and two aneurysms of lingual respectively facial artery after tonsillectomy. Interventional angiography plays an important role in overcoming such problems. Intravasal application of a platinum coil stops bleeding of the aneurysm and surgical revision of the neck can be avoided.

摘要

颈动脉瘤出血是耳鼻喉科手术中的一种紧急情况。气管和颈部大静脉受压以及失血需要立即治疗。本文展示了3例病例,分别介绍了1例自发性和1例创伤后甲状腺下动脉瘤,以及2例扁桃体切除术后舌动脉和面部动脉瘤的诊断和治疗方法。介入性血管造影在解决此类问题中发挥着重要作用。血管内应用铂线圈可止住动脉瘤出血,从而避免颈部手术翻修。

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