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颈内动脉瘤,与神经外科或血管外科的关系较为密切,但由于它也可出现耳鼻咽喉科症状,甚至是主要的症状,可就诊于耳鼻咽喉科。耳鼻咽喉科医师若对其有一定认识,息者多可救治,否则,可能延误病情,丧失治疗时机,或因处理不当致患者死亡。Seftel等(1959)引述Hirsch报告的一例53岁的女患者,X线检查显示蝶窦肿瘤,经鼻部途径作切除,结果引起致死性大出血。Garth & Wagner(1978)报告一例,男,32岁,因汽车事故受伤入院,昏迷4天后苏醒,出院后一月开始鼻衄,曾因严重出血致心跳停止,经复苏成功作颈动脉造影,发现右侧颈动脉-海绵窦瘘管,为外伤性动脉瘤所产生,分别结扎颈
An internal carotid artery aneurysm has a close relationship with neurosurgery or vascular surgery, but it can also be seen in the otorhinolaryngology department because it can also cause otorhinolaryngology symptoms or even major symptoms. If an otorhinolaryngologist has a certain understanding of it, the interest can be cured. Otherwise, the condition may be delayed, the timing of treatment may be lost, or the patient may die due to improper handling. Seftel et al. (1959) cited an example of a 53-year-old female patient who was reported by Hirsch. X-ray examination revealed a sphenoid sinus tumor that was resected through the nasal route and resulted in fatal bleeding. Garth & Wagner (1978) reported a case in which a male, 32 years old, was admitted to hospital because of an automobile accident, recovered from a coma after 4 days, started his nose in January after discharge, had suffered a severe heart-beating due to bleeding, and was successfully resuscitated for carotid angiography. Right carotid artery - cavernous sinus fistula, produced by traumatic aneurysm, ligated separately