关键词: 颈动脉外伤, &ldquo, TOPIC&rdquo, 分型, &ldquo, ABC&rdquo, 救治原则

Abstract: Management principles of carotid artery trauma        QU Le-feng, BAI Jun, WU Jian-jin. Department of Vascular & Endovascular Surgery, Changzheng Hospital, Naval Medical University，Shanghai 200003，China
Corresponding author：QU Le-feng, E-mail：qulefeng@smmu.edu.cn
Abstract    Carotid artery trauma has various causes with dangerous incidence，high mortality and disability rate. Different from limb arterial injury，the neck where the carotid artery located is in the "anatomical key points ". The inner side is adjacent to the trachea，esophagus，and jugular vein. The formed hematoma could easily compress the trachea and cause suffocation. The target organ brain is very important，and the damage could cause cerebral ischemia. It is extremely vulnerable to disability or even death. There are also important cranial nerves such as vagus and sublingual. The injury itself or poor protection during the treatment process could easily cause secondary damage and cause serious neurological complications. The location of carotid artery is superficial and exposed outside the trunk, which is not easy to protect and easy to be injured. The treatment of carotid artery trauma is a clinically recognized problem，and there are few related research reports. It is proposed the principle of“ABC”treatment of carotid artery trauma based on the“TOPIC”classification.

Key words: carotid artery trauma, TOPIC classification, ABC treatment principles