Citation

Sun DF, Liang C, Zhang SX, Yuan TJ, Chen Y. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 57(11): 1344-1346.

Vernacular Title

炮钉致颈部开放性损伤伴颈总动脉贯通1例

Copyright

(Copyright © 2022, Zhonghua yi xue hui za zhi she)

DOI

10.3760/cma.j.cn115330-20220418-00199

PMID

36404663

Abstract

This article reports the diagnosis and treatment experience of a case of open neck injury caused by nailing with perforation of the common carotid artery. A 34-year-old female patient came to the doctor because of "neck trauma for more than 4 hours". The preoperative neck CT showed that the iron nail penetrated into the right neck and accumulated air, which was closely related to the right common carotid artery. During the operation, it was found that the nail damaged the sheath of the vagus nerve and passed through the middle of the right common carotid artery. The nail penetrated the injured right anterior scalene muscle, and the nail tip was embedded in the right transverse process of C5. The cervical plexus was not obvious damage. The neck injury and the perforated common carotid artery were repaired through multidisciplinary surgery. The patient recovered well after operation without obvious complications. [via Google Translate]

===

本文报道1例炮钉致颈部开放性损伤伴颈总动脉贯通患者的诊治经验。患者女，34岁，因“颈部外伤4 h余”就诊。术前颈部CT示右侧颈部铁钉刺入并积气，与右侧颈总动脉关系密切。术中探查发现炮钉损伤迷走神经鞘膜，自右侧颈总动脉正中穿过，炮钉穿过损伤右侧前斜角肌，钉尖嵌入C5右侧横突内，探查颈丛神经未见明显损伤。经多学科联合手术修补颈部损伤及被贯通的颈总动脉。术后患者恢复良好，无明显并发症。.

Language: zh

Keywords

Humans; *Carotid Artery Injuries/etiology/surgery; *Neck Injuries/complications/surgery; Bone Screws/adverse effects; Carotid Artery, Common/surgery; Neck