PDF(Pubmed)
Abstract：
UNASSIGNED: Penetrating neck injuries (PNIs) are common and are associated with arterial injuries in 10-25 % of the cases, with carotid artery twice as frequent as to vertebral arteries. Carotid artery injury constitutes about 22 % of all cervical vascular injuries.
METHODS: We present a case of a 44-year-old male who sustained penetrating neck injury in a motor traffic crash. He presented with monoplegia of his right upper limb and an open wound on the left side of his neck which was not actively bleeding hence surgical debridement was done and sutured. CT angiography and CT-scan brain concluded of left common carotid thrombosis secondary to penetrating neck trauma with ischemic brain injury. Patient was successfully managed conservatively.
UNASSIGNED: The general mortality rate in PNI with associated cervical vascular injury is approximately 66 %. Artery dissection occurs when the intima tears causing intramural hematoma leading to narrowing or occlusion. CT angiography is the best and fastest modality to assess these injuries and management depends on the clinical bases of the patient.
CONCLUSIONS: Neck is vulnerable to external trauma because it is not protected by the skeleton. The neck contains vital structures such as the trachea, esophagus, blood vessels and nervous system organs. Vascular injuries can be life-threatening owing to its prompt clinical assessment and investigation.
METHODS: We present a case of a 44-year-old male who sustained penetrating neck injury in a motor traffic crash. He presented with monoplegia of his right upper limb and an open wound on the left side of his neck which was not actively bleeding hence surgical debridement was done and sutured. CT angiography and CT-scan brain concluded of left common carotid thrombosis secondary to penetrating neck trauma with ischemic brain injury. Patient was successfully managed conservatively.
UNASSIGNED: The general mortality rate in PNI with associated cervical vascular injury is approximately 66 %. Artery dissection occurs when the intima tears causing intramural hematoma leading to narrowing or occlusion. CT angiography is the best and fastest modality to assess these injuries and management depends on the clinical bases of the patient.
CONCLUSIONS: Neck is vulnerable to external trauma because it is not protected by the skeleton. The neck contains vital structures such as the trachea, esophagus, blood vessels and nervous system organs. Vascular injuries can be life-threatening owing to its prompt clinical assessment and investigation.
摘要：
■颈部穿透性损伤（PNI）很常见，并且在10-25％的病例中与动脉损伤有关，颈动脉的频率是椎动脉的两倍。颈动脉损伤约占所有颈部血管损伤的22％。
方法：我们介绍了一例44岁男性在机动车交通事故中颈部穿透性损伤的病例。他的右上肢单瘫和颈部左侧开放性伤口，没有积极出血，因此进行了手术清创术并缝合。CT血管造影和CT扫描脑部总结为穿透性颈部外伤伴缺血性脑损伤继发的左颈总动脉血栓形成。患者已成功保守治疗。
■伴有颈部血管损伤的PNI的一般死亡率约为66％。当内膜撕裂导致壁内血肿导致狭窄或闭塞时，就会发生动脉夹层。CT血管造影是评估这些损伤的最佳和最快的方式，管理取决于患者的临床基础。
结论：颈部容易受到外部创伤的影响，因为它不受骨骼的保护。颈部包含重要结构，如气管，食道,血管和神经系统器官。血管损伤由于其迅速的临床评估和调查而可能危及生命。
方法：我们介绍了一例44岁男性在机动车交通事故中颈部穿透性损伤的病例。他的右上肢单瘫和颈部左侧开放性伤口，没有积极出血，因此进行了手术清创术并缝合。CT血管造影和CT扫描脑部总结为穿透性颈部外伤伴缺血性脑损伤继发的左颈总动脉血栓形成。患者已成功保守治疗。
■伴有颈部血管损伤的PNI的一般死亡率约为66％。当内膜撕裂导致壁内血肿导致狭窄或闭塞时，就会发生动脉夹层。CT血管造影是评估这些损伤的最佳和最快的方式，管理取决于患者的临床基础。
结论：颈部容易受到外部创伤的影响，因为它不受骨骼的保护。颈部包含重要结构，如气管，食道,血管和神经系统器官。血管损伤由于其迅速的临床评估和调查而可能危及生命。
