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有关颈动脉损伤后修补的方法是有争论的。选择血管修补或结扎颈动脉,决定于是否出现神经功能不全和昏迷,病人的血液动力学是否稳定,以及修补对损伤是否有效。作者1954～1981年治疗颅外颈动脉损伤病人50例。年龄为12～78岁,平均30岁;85％是男性,68％病人的病因是枪伤,其余病人是刺伤颈部。76％病人是直接损伤颈总动脉,初期修补成功38例(76％),死亡率为7.8％。结扎血管有6例(12％),死亡率为50％,整个死亡率为20％。在急诊室出现神经功能不全有13例,其
The method of repair after carotid injury is controversial. The choice of blood vessel repair or ligation of the carotid artery depends on the presence or absence of neurological dysfunction and coma, the stability of the patient’s hemodynamics, and whether the repair is effective for the injury. The authors treated 50 patients with extracranial carotid artery injury from 1954 to 1981. Ages ranged from 12 to 78 years, with an average age of 30 years; 85% were males, 68% of patients were caused by gunshot wounds, and the remaining patients were stabbed to the neck. In 76% of patients, the common carotid artery was directly damaged. 38 cases (76%) were successfully repaired at the initial stage, and the mortality rate was 7.8%. There were 6 cases (12%) of ligated vessels, the mortality rate was 50%, and the overall mortality rate was 20%. There are 13 cases of neurological dysfunction in the emergency room.