総頸動脈結紮の臨床例について

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Observation was made on the 17 cases who have received gradual ligation of the carotid artery for radical neck dissection of tumor, adhered with the common artery. 1) The vessel was ligated loosly at first to make its lumen one half of the previous size and four days later complete ligation would be performed and after 3 days the common carotid artery was removed with tumor. 2) Extripation of the carotid artery with tumor were performed on 10 cases and ligation alone were performed on 7 cases. 3) Complications due to ligation of the carotid artery were 4 hemiplegia, 3 mental confusion, 4 unconciousness, 7 severe hadache and 3 Horner's synmptome. 4) 3 died cases were seemed to be caused by ligation. 5) The cause of death of these 3 cases was as follows one died of emaciation, the second died of neurological complication and the third died of hemorrage of the ligated carotid artery. 6) Regard to prognosis, died cases were 12 who have died within one year after the ligation and survived cases were 5. One of 5 survived cases has lived 4 years after the ligation. 7) E.E.G. test was performed on 6cases. One of 6 cases gave the 2 wave depression on F-P leed and this case died 6 days later of neurological deficit. 8) Cerebral angiogrphy was performed on 5 cases. Collateral circulation was confirmed on the cases of 20 days after ligation. 9) 6 cases received the 90 second unilateral liga- tion of carotid artery and Po2 was examined on the blood of the homolateral jugular vein. One case demonstrated the 23% decrease and hemiplegia. 5 cases recovered from the decrease to the average level of Pot of blood of homolateral jugu- lar vein at one week after complete ligation.
社団法人日本耳鼻咽喉科学会の論文

総頸動脈結紮の臨床例について

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