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1996年11月间,我科收治1例右颈部放射性溃疡致颈总动脉破裂大出血的患者,在介入放射科和显微外科的配合下,在如何解决急性出血和消除长期存在的溃疡创面,防止再度出血及肢体功能障碍等方面取得较好效果,现报告如下。 病历摘要:患者男性,53岁,因右颈总动脉反复大出血于1996年11月6日入院。患者于1987年因鼻咽癌行放射性治疗,致右颈部出现经久不愈的溃疡。96年10月19日凌晨3时,突然于溃疡处出现喷射状大出血约1000ml,自行加压包扎止血,21日凌晨再次大出血并伴休克乃到某医院急诊,术中见相当于右颈总动脉处有一0.4×0.3cm之血管破口喷血,其周均为疤痕组
In November 1996, in our department, one patient with a major carotid artery rupture caused by radioactive ulceration of the right neck was treated with interventional radiology and microsurgery to resolve acute bleeding and eliminate long-standing ulcer wounds. Prevention of rebleeding and physical dysfunction have yielded better results. The report is as follows. Medical record summary: A 53-year-old male patient was admitted to hospital on November 6, 1996 due to repeated bleeding of the right common carotid artery. The patient was treated with radiotherapy for nasopharyngeal carcinoma in 1987, resulting in persistent ulcers in the right neck. At 3 o’clock on the morning of October 19th, 1996, a sudden large spray of ulcers at the site of ulceration occurred in about 1000 ml, and the blood was self-pressurized and bandaged to stop bleeding. On the 21st morning, another major hemorrhage was accompanied by shock to the emergency room of a hospital. The equivalent of the right common carotid artery was seen during the operation. There was a 0.4×0.3cm blood vessel puncture at the peripherial area, and the weeks were all scarred.