EVALUATION AND MANAGEMENT OF PENETRATING WOUNDS OF THE NECK - ROLE OF EMERGENCY ANGIOGRAPHY

被引：27

作者：

ODONNELL, VA

ATIK, M

PICK, RA

机构：

[1] UNIV CALIF LOS ANGELES,SCH MED,DEPT SURG,LOS ANGELES,CA 90024

[2] MARTIN LUTHER KING JR GEN HOSP,LOS ANGELES,CA 90059

[3] UNIV CALIF LOS ANGELES,SCH MED,DEPT RADIOL,LOS ANGELES,CA 90024

来源：

AMERICAN JOURNAL OF SURGERY | 1979年 / 138卷 / 02期

关键词：

D O I：

10.1016/0002-9610(79)90393-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

With the use of emergency angiography, careful observation, and monitoring, 40 consecutive patients with penetrating wounds were selectively managed. Eleven patients were operated on with one negative exploration and one death. Twenty-nine patients were observed after negative angiography without operation on the neck and were subsequently discharged without overlooking a significant vascular or visceral injury or any complication. We believe this policy to be safe and effective. It should reduce the number, the morbidity, and the cost of needless mandatory surgical explorations and should guard against clinically undetected serious injuries. Operations should be reserved for those patients with clinically obvious severe vascular or visceral injury and for those with radiographically demonstrated significant lesions. © 1979.

引用

页码：309 / 313

页数：5

共 20 条

[1] PENETRATING WOUNDS OF NECK - RE-EMPHASIS OF NEED FOR PROMPT EXPLORATION [J].