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头颈部外伤不仅引起脑损伤而且可损伤颅内动脉。一般认为,病人在受到轻微外伤后可导致椎动脉夹层分离。本文作者报告1例酒后头部受到中度外伤而致椎动脉颅内段撕裂产生致命性蛛网膜下腔出血(SAH)而引起死亡的病人,并讨论其发生机制。 男性病人,36岁,因酒后损伤下颌部而昏迷,入院时生命体征消失,经复苏后行CT发现有块状SAH,颅底及颈椎X线平片未见异常。4d后病人死亡,尸体解
Head and neck trauma not only causes brain damage but also damages the intracranial artery. It is generally believed that patients with mild trauma can cause dissection of the vertebral artery. The authors report a case of death caused by severe traumatic subarachnoid hemorrhage (SAH) caused by moderate traumatic head injury in the head of a drinker caused by tearing of the intracranial segments of the vertebral artery, and to discuss its mechanism. Male patient, aged 36, was unconscious due to injury to the lower jaw of the drinker. Vital signs disappeared on admission. Massive SAH was found on the CT after resuscitation and no abnormalities were found on the skull base and cervical X-ray films. 4d after the patient died, the body solution