颈内动脉颅内外假性动脉瘤多由头颈部外伤和感染所致。本文结合临床病例对假性动脉瘤发生的病理过程、临床症状、治疗原则及临床教训进行了讨论,认为本病虽然少见,若延误诊断和治疗不当可发生致死性大出血而危及生命。耳鼻咽喉科医生应了解和掌握本病的临床特征,及早作出诊断和治疗。 Intracranial and extracranial pseudoaneurysms of the internal carotid artery are mostly caused by head and neck trauma and infection. This article discusses the pathological process, clinical symptoms, treatment principles, and clinical lessons of pseudoaneurysm in combination with clinical cases. It is believed that although this disease is rare, fatal bleeding can be fatal and life-threatening if delay in diagnosis and treatment. Otorhinolaryngologists should understand and master the clinical features of the disease and make early diagnosis and treatment.