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.
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
.
DOI: 10.3761/j.issn.2096-7446.2024.09.011
[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.