颈部贯通伤伴颈动脉损伤合并脊髓损伤患者的急救护理

doi:10.3761/j.issn.2096-7446.2024.09.011

Abstract

Abstract: This article summarized the emergency care experience for a patient with penetrating neck injury,involving carotid artery damage and spinal cord injury. Faced with significant blood loss and airway compression due to hematoma from the neck injury,a multidisciplinary team approach was adopted for collaborative treatment. Carotid artery compression for hemostasis,airway management for combined spinal cord injury,hemodynamic stabilization,and prevention of hypoperfusion-related cerebral infarction were implemented. Following emergency treatment and nursing care,the patient‘s condition stabilized and underwent emergency surgery. The patient was successfully discharged 14 days postoperatively.

Key words: Penetrating Neck Injury, Spinal Cord Injury, Emergency Nursing

WANG Tingting, ZHOU Shuaishuai, FANG Jue, WANG Yuwei. Emergency care for a patient with penetrating neck injury involving carotid artery damage and spinal cord injury[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(9): 834-836.

References

[1] Simpson C,Tucker H,Hudson A.Pre-hospital management of penetrating neck injuries:a scoping review of current evidence and guidance[J]. Scand J Trauma Resusc Emerg Med,2021,29(1):137.
[2] Coleman KC,Hudnall A,Grabo DJ,et al.Penetrating trauma to the neck:using your vascular toolkit[J]. J Trauma Acute Care Surg,2021,91(2):e51-e54.
[3] Nowicki JL,Stew B,Ooi E.Penetrating neck injuries:a guide to evaluation and management[J]. Ann R Coll Surg Engl,2018,100(1):6-11.
[4] O‘Brien PJ,Cox MW. A modern approach to cervical vascular trauma[J]. Perspect Vasc Surg Endovasc Ther,2011,23(2):90-97.
[5] 孙大峰,梁晨,张松雪,等. 炮钉致颈部开放性损伤伴颈总动脉贯通1例[J]. 中华耳鼻咽喉头颈外科杂志,2022,57(11):1344-1346.
Sun DF,Liang C,Zhang SX,et al.Open neck injury with common carotid artery penetrating injury caused by Gun screw:a case report[J]. Chin J Otorhinolaryngol Head Neck Surg,2022,57(11):1344-1346.
[6] Rhee P,Kuncir EJ,Johnson L,et al.Cervical spine injury is highly dependent on the mechanism of injury following blunt and penetrating assault[J]. J Trauma,2006,61(5):1166-1170.
[7] 曲乐丰,柏骏,吴鉴今. 颈动脉外伤处理原则[J]. 中国实用外科杂志,2020,40(12):1366-1369.
Qu LF,Bai J,Wu JJ.Management principles of carotid artery trauma[J]. Chin J Pract Surg,2020,40(12):1366-1369.
[8] Burgess CA,Dale OT,Almeyda R,et al.An evidence based review of the assessment and management of penetrating neck trauma[J]. Clin Otolaryngol,2012,37(1):44-52.
[9] Piaseczny M,La JL,Chaplin T,et al.Protect that neck! Management of blunt and penetrating neck trauma[J]. Emerg Med Clin North Am,2023,41(1):35-49.
[10] 刘映兰,汪雪梅,傅向军,等. 外伤性颈动脉破裂的围手术期护理[J]. 深圳中西医结合杂志,2016,26(9):138-140.
Liu YL,Wang XM,Fu XJ,et al.Nursing of perioperation period in traumatic carotid ruptur[J]. Shenzhen J Integr Tradit Chin West Med,2016,26(9):138-140.
[11] 曲乐丰,柏骏,吴鉴今,等. 颈部血管大出血新分型及救治措施[J]. 中华医学杂志,2021,101(29):2267-2270.
Qu LF,Bai J,Wu JJ,et al.The new classification and treatment of neck hemorrhage[J]. Natl Med J China,2021
12 101(29):2267-2270.
[12] 王飒,闫丹萍,张玉坤,等. 急诊成人创伤性脊柱脊髓损伤患者脊柱固定护理的最佳证据总结[J]. 中国实用护理杂志,2023,39(3):208-214.
Wang S,Yan DP,Zhang YK,et al.Evidence Summary of the nursing of spinal fixation in emergency adult patients with traumatic spinal cord injury[J]. Chin J Prac Nurs,2023,39(3):208-214.
[13] Evans C,Chaplin T,Zelt D.Management of major vascular injuries:neck,extremities,and other things that bleed[J]. Emerg Med Clin North Am,2018,36(1):181-202.

[1]	YANG Muying, FAN Wenqi, HU Han. Early identification and emergency nursing of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(6): 704-706.
[2]	DING Youya, WANG Sa, YAN Danping, ZHOU Shuaishuai, WU Zuojia, WANG Yuwei. Nursing care of a patient with refractory hypokalemia caused by methanol poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(4): 447-449.
[3]	CHEN Zhaofei, WANG Wei, ZHAI Zhenguo. Implementation and quality control of an integrated prevention and management strategy for venous thromboembolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 274-278.
[4]	YU Yanuo, SONG Yuhang, GAO Lingjie, LI Xiaobo. The application of clinical decision support system in emergency triage management：a scoping review [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 306-311.
[5]	GAO Binbing, WANG Sa, ZHOU Shuaishuai, ZHANG Yukun, WANG Yuwei. Emergency nursing of a patient with cardiac arrest caused by pulmonary embolism complicated by ruptured hepatic hemangioma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(3): 315-318.
[6]	XIA Zhiyuan, HE Jia, WANG Lixing, SHI Yirong, YANG Min, WANG Xun, HUANG Yanmei, LI Zhiyan, ZHANG Li. Interagency collaboration and emergency nursing care for patients with Gelsemium elegans group poisoning [J]. Chinese Journal of Emergency and Critical Care Nursing, 2026, 7(1): 77-79.
[7]	YANG Xiaohua, SUN Ting, WANG Ping, YAO Meiqi. Emergency treatment and warning for an elderly patient with severe hyponatremia caused by excessive water intake：a case report [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 995-997.
[8]	SI Tong, ZHOU Yong, WANG Shuang. Clinical characteristics and prevention of neurological symptoms induced by overhydration based on cases：from a physician’s perspective [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 998-1002.
[9]	ZHOU Huiyun, LUO Feixiang, SHEN Fei. Nursing of prone position ventilation under extracorporeal membrane oxygenation in a premature infant with acute respiratory distress syndrome [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 826-829.
[10]	CHEN Peng. Research progress of end tidal carbon dioxide monitoring in patients undergoing cardiopulmonary resuscitation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 891-896.
[11]	ZHOU Jun, CHEN Ruan, ZHU Jihua. Nursing care of a child with refractory mycoplasma pneumonia complicated with right ventricular thrombosis and pulmonary embolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 700-703.
[12]	WANG Sa, YAN Danping, LIU Yajie, ZHOU Shuaishuai, WANG Meiling, LIN Gaoxing, XU Shurong, ZHOU Guangju, WANG Yuwei. Neuro-monitoring and nursing management practice during the low perfusion period in emergency cardiac arrest patients [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 713-718.
[13]	LU Dianxia, MEI Yiju, CHEN Yu, CHEN Yuyue, WANG Ji, CAO Xueting, ZHANG Jinsong. Nursing care of a patient with severe frostbite caused by staying overnight in the wilderness after binge drinking in southern China [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(5): 573-575.
[14]	LI Chunling, XU Miao, YANG Dongmei, FENG Daying. Emergency nursing care of a patient with myocardial infarction caused by spontaneous coronary artery dissection in the second trimester of pregnancy [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 332-334.
[15]	HUANG Yufeng, DONG Lixia, ZHANG Lei, WANG Hui. Improvement of the nursing process for thrombolysis patients with acute ischemic stroke in Inner Mongolia and effect evaluation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(3): 345-350.

Emergency care for a patient with penetrating neck injury involving carotid artery damage and spinal cord injury

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Recommended Articles

Metrics

Comments