Neck vascular injury

Gunshot wounds, stab wounds, cut wounds, explosion injuries, and car accidents can all cause carotid artery or jugular vein injury. Common types of injuries are sidewall injuries, lacerations, or fractures, and arteriovenous fistulas can also occur. Symptoms include wound bleeding or cerebral nerve dysfunction, and localized hematomas can develop. Transverse injuries of the carotid artery and signs of severe neurological disorders, even if the arterial rift is repaired surgically, the nerve function may not be restored due to the long period of cerebral ischemia. Therefore, only in cases of carotid artery injury that do not cause severe cerebral neurological dysfunction can the effect be obtained after arterial repair. Some scholars have suggested that the internal carotid artery pressure can be measured after the common carotid artery blood flow is blocked. If the systolic pressure is below 6.67kPa (50mmHg), it means that the blood flow in the ipsilateral cerebral hemisphere is insufficient, and the internal or external carotid artery should be used. Artery repair by shunting. Ligature can be used for injury of the external carotid artery, vertebral artery or internal jugular vein. If the internal carotid artery is contused and defective, the external carotid artery and internal carotid artery cross anastomosis can be done.

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