[The diagnosis and treatment of large cervical vascular injury].
OBJECTIVE
To study the diagnosis and treatment of large cervical vascular injury, and to improve the treatment.


METHODS
Clinical data of 18 cases of large cervical vascular injury between 1974 and 1999 in the Medical College Second Affiliated Hospital of Zhejiang University were analyzed retrospectively.


RESULTS
The following injuries were found, including common carotid artery involvement in 7, external carotid artery in 4, internal carotid artery in 2, subclavian artery in 1, internal jugular vein in 4. The type of injury included incision injury in 8, laceration injury in 5, break injury in 2, inflammatory injury in 2, tumor injury in 1. Fifteen cases were diagnosed by active bleeding of wound in neck, 2 cases by color Duplex ultrasound, 1 case by exploration. Operation included vascular repair in 8, vascular ligation in 10. The result showed that 14 patients were cured, one patient developed light hemiplegia, one patient performed amputation of the arm due to necrosis after subclavian artery ligation, two patients died, the mortality rate was 11.1%.


CONCLUSIONS
Active profuse bleeding from the neck wound is the basis of diagnosis basis. Rational surgical treatments are needed immediately.
Wang
J
J
Department of Surgery, Second Affiliated Hospital, Medical College, Zhejiang University, Hangzhou 310009, China.
Ma
W
W
D000293:Adolescent; D000328:Adult; D000368:Aged; D002339:Carotid Arteries / Q000601:surgery*; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000628:therapy*; D002648:Child; D004621:Embolization, Therapeutic; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D007601:Jugular Veins / Q000293:injuries / Q000601:surgery*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000175:diagnosis / Q000628:therapy*; D012189:Retrospective Studies