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失踪的颈动脉病例——一把准头十足的刀!

The case of the missing carotid artery--a well aimed knife!

作者信息

Mehanna H M, MacGregor F B

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Glasgow Royal Infirmary, UK.

出版信息

J Laryngol Otol. 1998 Apr;112(4):387-8. doi: 10.1017/s002221510014054x.

DOI:10.1017/s002221510014054x
PMID:9659506
Abstract

A 20-year-old male presented with a small stab wound to the neck and with haemodynamic signs of significant haemorrhage, but no signs of local bleeding. On exploration, an intact vagus nerve and internal jugular vein were found, but the common carotid artery was not immediately apparent. Careful dissection confirmed a completely transected common carotid artery with the two ends contracted and retracted. A primary repair was performed and post-operatively the patient recovered completely and had no neurological deficit.

摘要

一名20岁男性因颈部一处小刺伤就诊,伴有严重出血的血流动力学体征,但无局部出血迹象。探查时发现迷走神经和颈内静脉完好,但未立即发现颈总动脉。仔细解剖证实颈总动脉完全横断,两端收缩并回缩。进行了一期修复,术后患者完全康复,无神经功能缺损。

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