[Management of major cervical vessel injury: clinical experience].
OBJECTIVE
To review the diagnosis and management of injury of the major cervical vessels.


METHODS
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.


RESULTS
Among 12 cases, no death and no severe complications developed through appropriate management.


CONCLUSIONS
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.
Department of Oral and Maxillofacial Surgery, Tiantai People's Hospital, Tiantai 317200, Zhejiang Province, China. jxmol@21cn.com
Xin-Yi
XY
Chen
Ping
P
Zheng
Bang-Deng
BD
Chen
D000328:Adult; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000175:diagnosis / Q000628:therapy*; D012189:Retrospective Studies