以鼻出血为主要表现的颈内动脉假性动脉瘤病例报道并文献复习

Traumatic Pseudoaneurysm of the Internal Carotid Artery by Epistaxis：a case report and literature review

摘要:

目的:提高对外伤性颈内动脉假性动脉瘤的认识,尽量早期识别并给予及时治疗,挽救生命。方法:回顾性分析1例外伤后颈内动脉假性动脉瘤导致鼻腔大量出血患者的临床、影像学资料；并结合国内外相关文献, 对本病的病因、临床表现、诊断、治疗进行讨论分析。结果:该患者为迟发性颈内动脉假性动脉瘤,行栓塞治疗后痊愈。结论:颈内动脉假性动脉瘤早期无特异性症状,不易识别,然而一旦破裂可能导致致命性鼻出血,死亡率高。临床上需早期识别,尽早完善DSA检查,避免延误治疗时机。

Abstract:

Objective: This thesis aims to improve the understanding of the Traumatic Pseudoaneurysm of the Internal Carotid Artery(TPICA), as well as the early recognition and timely treatment so as to save lives. Methods: There is a retrospective analysis of the clinical and images data of one case, which has massive nasal bleeding caused by TPICA. In combination with relevant literatures home and abroad, this paper also discusses and analyses the etiology, clinical manifestations, diagnosis and treatment of the disease.Results: The patient was delayed pseudoaneurysm of the internal carotid artery, which was then cured by embolotherapy. Conclusion: The TPICA has no specific symptoms in the early stage and can be difficult to identify. And in the event of a rupture, it may lead to fatal epistaxis with high mortality. Early identification and DSA examination should be completed as soon as possible to avoid delay in treatment.