Management of major cervical vessel injury: clinical experience
Chen, X.-Y.; Zheng, P.; Chen, B.-D.
Shanghai Kou Qiang Yi Xue 13(3): 211-213
2004
ISSN/ISBN: 1006-7248 PMID: 15269862 Document Number: 572770
To review the diagnosis and management of injury of the major cervical vessels. The clinical data of 12 cases with injury of the major cervical vessels were analyzed retrospectively. The causes of injury, emergency management, outcomes and complications were investigated. Among 12 cases, no death and no severe complications developed through appropriate management. For patients with cervical injury, the possibility of vascular injury should be considered. The key to salvage on spot is hemostasis by local compression with rapid filling. Complete exposure of the vessels is the key to success of surgical salvage. Anti-shock measures, endotracheal intubation general anesthesia and immediate operation are mandatory to improvement of treatment outcomes.