CAJ | 학술논문

目的：探讨9例颈动脉损伤患者施救经过、术式选择。方法9例患者入院后经积极抗休克治疗，上段及中段急诊行胸锁乳突肌前缘切口，下段行颈胸联合切口，手术探查分别行颈外动脉结扎、颈总动脉、颈内动脉端端吻合或修补。结果9例伤员，死亡2例，偏瘫、失语1例，声音嘶哑、饮水呛咳1例，5例痊愈。结论早期诊断，及时有效的止血，血管修复，尽快恢复颈动脉血流和必要的脑保护措施是降低病死率，减少神经系统并发症的关键。
목적：탐토9례경동맥손상환자시구경과、술식선택。방법9례환자입원후경적겁항휴극치료，상단급중단급진행흉쇄유돌기전연절구，하단행경흉연합절구，수술탐사분별행경외동맥결찰、경총동맥、경내동맥단단문합혹수보。결과9례상원，사망2례，편탄、실어1례，성음시아、음수창해1례，5례전유。결론조기진단，급시유효적지혈，혈관수복，진쾌회복경동맥혈류화필요적뇌보호조시시강저병사솔，감소신경계통병발증적관건。
Objective To discuss the rescuing process and the selection of operating method of 9 cases of patients with carot-id artery injury .Methods 9 patients received positive anti -shock treatment after admission .Anterior sternocleidomastoid incision was made in the upper and middle section , and cervicothoracic incision was made in the lower section .Then ligature of external carot-id artery and repair and danastomosis of common carotid artery and internal carotid artery were examined .Results Among the 9 ca-ses, 2 were dead, 1 had hemiplegic paralysis and aphasia , 1 had hoarseness and drink cough and 5 others were cured.Conclusion Early diagnosis , effective haemostasis , reconstruction of carotid artery and necessary brain protection are the key to reducing the mor -tality and decreasing the morbidity of neurological deficit .