Abstract
A man 30 years old,was brought to the emergency department after being injured on the left side of the neck area.Massive bleeding from the wound caused by glass was observed.The patient was in cerebral coma and hemorrahagic shock.The eye pupils remained isochoric during and after the operation.He was taken immediately at the surgery room.The bleeding was stopped by using external compression.Exposure of the left neck blood vessels was carried out.The left common carotid artery and internal jugular vein was revealed.A provisory Pruitt-Inahara shunt was put in the common carotid artery,while teh injured vein was ligated.The suture of the left common carotid artery using Prolen 6-0 completed the procedure.After the surgery the patient was transferred to the intensive care unit.About two hours later he woke up,conscious.The left thoracic drainage because of the hemothorax was applied in the second postoperative day.The patient was lively and discharged from the hospitall in the 14-th postoperative day.The right facial paresis and mild left side hemiparesis persisted.Two months after the event no residual neurologic deficits were observed.
References
- Richardson R,Obeid FN,Richardson JD,Hoyt DB, Wisner DH,Gomez GA et al.Neurologic consequences of cerebrovascular injury Trauma. 1992;32:755-8.
- Dar M A; Salati A S et al.Penetrating carotid artery injuries-A Cashmir experience. The internet J of Thoracic and Cardiovascular Surgery. ISSN 152402 2012;13:2.
- Likeweg W G and Greenfield L Management of penetrating carotid arterial injury. Ann Surg. 1978;188:587-92.
- Yasa H,Ozela A,Yetkin U et al.The internet J of thoracic and cardiovascular surgery. DOI:105580/2157.ISSN 1524-0274. 2008;11:2.
- Ledgerwood A M.Primary repair vs ligation for carotid artery injuries. Arch Surg. 1980;115;488-93.
- Bonalumi F,Carlesi R,Zaretti D. Insufficienza cerebrovascolare da patologia carotidea in Arteriopatie.Agrifoglio G,Agus B G,Gabrielli L.Masson. 1991;147-173.
- Yazışma Adresi / Address for Correspondence: Dr. Arben Zenelaj University Hospital of Trauma Laprake, Tirana/ALBANIA. Email: arbenzeneli@yahoo.com G eliş tarihi/Received on: 13.11.2013
- Kabul tarihi/Accepted on:16.12.2013
Abstract
30 yaşında erkek hastanın boyun bölgesinin sol tarafı yaralı olarak acil servise getirildi. Ağır kanamaya bir camın neden olduğu gözlendi. Hastada serebral koma ve hemorojik şok meydana geldi. Gözbebekleri operasyon sırası ve sonrasında izokor kaldı. Hasta acil olarak ameliyathaneye alındı. Kanama dış basıyla durduruldu. Sol boyun damarlarında gerçekleşen bu durum sol karotik arter ve internal jugular ven yaralanması olarak ortaya çıkmıştır. Karotik artere geçici Pruitt- Inahara Şantı konularak yaralı ven ligature edildi. Sol karotik arter dikişi için Prolen 6-0 kullanıldı. Operasyondan sonra hasta yoğun bakım ünitesine alındı. İki saat sonra hastanın bilinci açıldı. Operasyondan sonraki ikinci günde sol göğüs drenajı uygulandı. Hasta on dört gün sonra hastaneden taburcu edildi. Sağ yüz parazisi ve orta düzey sol hemiparazisi devam etti. Olaydan iki ay sonra hastada kalıcı hiçbir nörolojik hasar gözlenmedi.
Keywords
References
- Richardson R,Obeid FN,Richardson JD,Hoyt DB, Wisner DH,Gomez GA et al.Neurologic consequences of cerebrovascular injury Trauma. 1992;32:755-8.
- Dar M A; Salati A S et al.Penetrating carotid artery injuries-A Cashmir experience. The internet J of Thoracic and Cardiovascular Surgery. ISSN 152402 2012;13:2.
- Likeweg W G and Greenfield L Management of penetrating carotid arterial injury. Ann Surg. 1978;188:587-92.
- Yasa H,Ozela A,Yetkin U et al.The internet J of thoracic and cardiovascular surgery. DOI:105580/2157.ISSN 1524-0274. 2008;11:2.
- Ledgerwood A M.Primary repair vs ligation for carotid artery injuries. Arch Surg. 1980;115;488-93.
- Bonalumi F,Carlesi R,Zaretti D. Insufficienza cerebrovascolare da patologia carotidea in Arteriopatie.Agrifoglio G,Agus B G,Gabrielli L.Masson. 1991;147-173.
- Yazışma Adresi / Address for Correspondence: Dr. Arben Zenelaj University Hospital of Trauma Laprake, Tirana/ALBANIA. Email: arbenzeneli@yahoo.com G eliş tarihi/Received on: 13.11.2013
- Kabul tarihi/Accepted on:16.12.2013
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research |
| Authors | |
| Publication Date | July 22, 2014 |
| Published in Issue | Year 2014 Volume: 39 Issue: 3 |
