頚部大血管損傷に対する治療上の問題点について

概要

論文の詳細を見る
An injury to major blood vessels in the neck is a special kind of injury whose prognosis is dependent on the outcome of the initial treatment following first-aid given immediately after the injury. In this study, the basic knowledge of such injury and procedures for its treatment with which traumatologists should be equipped are discussed including referenses to the relevant literature. Out of the 73 cases of neck injuries at our center in 15 years, 13 cases were major blood vessel injuries of which 3 cases resulted in deaths (23%). Among the suvivors, one case where the internal carotid artery was occluded with ligature had a complication of transient hemiplegia and headache. The first choice procedure for injuried blood vessels seemed to be suturing and, when possible, ligation for the common carotid artery; suturing, without ligation as far as possible, for the internal carotid artery; and ligation for the external carotid artery and internal or external juglar vein. For life-saving purposes, it seemed preferable to occulde the vessel with ligature, without over regard to suturing. Also, in the injury of an artery, it seemed an effective procedure in faciliting the observation and treatment of an injured site to make a new incision on the posterior side to expose the common carotid artery and block the flow of blood temporarily.
東京女子医科大学の論文
1997-08-25