颈部颈颈交界处外伤性损伤1例。

Q4 Medicine
I V Kan, N V Litvinyuk, F S Kulakov, A G Simonov, S S Mahnach, E A Bakova
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引用次数: 0

摘要

颈动脉和颈静脉之间的动静脉连接处最常见的原因是在静脉置管过程中对血管壁的医源性损伤,然而,本文描述了一例罕见的颈动脉和颈静脉连接处外伤性的临床病例。除了常见的肿胀、搏动、软组织发红等局部症状外,患者右眼还可见化脓性结痂的形成,这并非动静脉吻合的特征。本文介绍了颈部和头臂血管的多螺旋计算机断层扫描(MSCT)和颈总动脉盆地的血管造影结果。术中结扎参与动静脉排出的血管,即面部静脉和动脉。手术治疗的结果是:右侧颊部及眶下区软组织红肿减轻,睡眠后右眼脉搏停止,化脓性结痂形成。本文介绍了国外文献研究的主要成果:动静脉结的发病频率和病因的统计资料、动静脉结的特征性临床表现和鉴别诊断方法。此外,它还列出了世界实践中使用的治疗策略。鉴于罕见的病理,其诊断的复杂性,并缺乏标准的手术治疗技术,提出的临床病例是重要的实际利益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[A case of the traumatic carotid-jugular junction of the neck].

The most common cause of the arteriovenous junction between the carotid artery and the jugular vein is iatrogenic damage to the vessel walls during vein catheterization, however, this article describes a rare clinical case of traumatic carotid jugular junction of the neck. In addition to the well-known local symptoms of this pathology such as swelling, pulsation, redness of soft tissues, the formation of purulent crusts in the right eye was observed in the patient, which was not characteristic of arteriovenous anastomosis. The article presents the outcomes of multispiral computed tomography (MSCT) of the neck and brachiocephalic vessels with intravenous contrast enhancement confirming the diagnosis, as well as angiography of the common carotid artery basin. During the operation, the ligation of the vessels involved in arteriovenous discharge, the facial vein and artery, was performed. The results of surgical treatment are: reduction of swelling and redness of the soft tissues of the right buccal and suborbital areas, cessation of pulsation and formation of purulent crusts in the right eye after sleep. The article presents the main results of studying foreign literature on this topic: statistical data on the frequency and etiology of arteriovenous junction, characteristic clinical manifestations of this pathology and methods of differential diagnosis. Additionally, it lists treatment tactics used in world practice. Given the rarity of the pathology, the complexity of its diagnosis, and the lack of a standard surgical treatment technique, the presented clinical case is of the signficant practical interest.

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来源期刊
Stomatologiya
Stomatologiya Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
93
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