Treatment of vascular wounds in the neck
1. Causes of neck vascular injury
If it is a neck knife wound, it is usually a horizontal incision, slightly tilted to one side. Thyroid cartilage is often severed, cricoid cartilage, funnel cartilage and esophagus are also damaged.
If it is a wound caused by a buffalo, it often creates very large holes, the tissue around the wound is often crushed.
Wounds in the neck are also the result of bullets fired from a distance or a bullet fired at close range. With bullets fired from a distance, the neck wound will have an inlet and an exit hole, the exit hole is crushed and the entry hole is less damaged. The wound usually stops in the larynx.
In addition, traffic accidents are also one of the causes of broken blood vessels in the neck.
2. How to treat vascular wounds in the neck?
First, the patient will be given first aid to prevent asphyxiation if the patient's larynx or trachea is torn or crushed. Conduct tracheostomy for patients in cases such as patients with difficulty in hatching, extensive mucosal tear or multiple subcutaneous emphysema.
With small lesions that can heal on their own and do not leave many sequelae, the patient can be treated medically and monitored. Patients are indicated to use systemic corticosteroids in the first days after the injury to help fight swelling, inflammation, and edema. Apply bed rest, limit talking.
With severe cases, the patient will be indicated for surgery. The surgical access route can be used at the wound site. With often zigzag wounds, the wound is made wider and the bleeding is stopped, and the foreign body is taken out. Rely on film and surgery on the X-ray table to be able to find foreign bodies.
For complicated neck injuries, put a support device such as a gloved finger, dilatation or T-tube. Broken stress cartilage without displacement, rupture of anterior arch and rupture of tracheal cartilage will have different suture options. together.
3. Factors affecting the results of treatment of vascular wounds in the neck
The patient will quickly die soon after if not applied measures to treat the vascular wound in the neck. This is an extremely serious neck accident, which needs to be understood properly and enough to apply timely handling measures.
The Emergency Department of Vinmec International General Hospital operates 24/24 on all days of the week, including Saturday and Sunday as well as holidays of the year. The team of emergency doctors and nurses at the Department are professionally and thoroughly trained, able to receive and handle urgent cases of patients, and always coordinate with all specialties in a timely manner. fast.
With modern equipment and a team of experienced doctors, the Emergency Department has conducted emergency and saved the lives of serious and complicated patients. At the same time, patients at the Emergency Department are always coordinated care by many other specialized specialties (Team Base Care). Therefore, at the Emergency Department, patients will be examined, diagnosed, accurately and quickly, with high reliability and intensive treatment right from the emergency stage to help them quickly get out of the critical stage. dramatic and stable.
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