【摘要】 目的　探讨颅外颈内动脉损伤的早期诊断和治疗方法。方法　 1982～ 2 0 0 2年共收治颅外颈内动脉损伤 8例 ,其中颈内动脉破裂并休克 3例 ,并发栓塞 4例 ,假性动脉瘤 2例。行颈内动脉修补 2例 ,颈内动脉 -颈外动脉端端吻合 1例 ,颅内 -外动脉搭桥 2例 ,手术取栓 1例 ,瘤体切除加动脉修补 2例。结果无死亡 ,4例出现偏瘫失语等神经系统并发症 ,1例经颅内 -外动脉搭桥后完全康复 ,1例经取栓术后改善 ,2例经保守治疗症状轻度改善。余 4例除 1例遗有颈内动脉假性动脉瘤外 ,均痊愈。结论　早期诊断及颈内动脉修复重建是降低死亡率 ,减少神经系统并发症的关键更多还原

【Abstract】 Objective To investigate the early diagnosis and treatment of extracranial internal carotid artery injury.?Methods Eight cases of extracranial internal carotid artery injuries from 1982 to 2002 were analyzed in this study. Disruption of internal carontid artery was found in 3 cases and complicated by shock,4 cases had thrombosis,false aneurysm in 2 cases. Two patients were treated by repair,1 by end to end internal/external carotid artery anastomosis,2 by extracranial/intracranial bypass,1 by thrombectomy,2 by transaneurysm lateral suture.?Results There was no death in this series. Among these 4 patients who had neurologic deficits,1 recovered completely through ertracranial/intracranial bypass surgery,1 improved by thrombectomy,2 improved by anticoagulation therapy. The other 4 patients recovered but had small false aneurysm of internal carotid artery.?Conclusion Early diagnosis,repair and reconstruction of internal carotid artery is the key to reduce the mortality and decrease the morbidity of neurologic deficit.更多还原