钝性脑血管损伤的筛查及诊疗进展综述
Review on Screening, Diagnosis and Treatment of Blunt Cerebrovascular Injury
摘要: 钝性脑血管损伤(Blunt Cerebrovascular Injury, BCVI)包括钝性颈动脉和钝性椎动脉损伤，是一种相对少见但可能产生灾难性后果的损伤。由于钝性脑血管损伤的临床表现多样，且损伤往往合并有多脏器系统损伤，临床医生往往难以初步识别。随着筛查方法以及CT血管造影(CTA)等检查工具的使用，钝性脑血管损伤的发病率和死亡率都在增高。钝性脑血管损伤的许多方面仍然存在争议，包括筛选标准、诊断方法以及不同类型损伤的最佳治疗方案。本文将从BCVI发病机制、筛查、诊断和治疗等方面进行综述。
Abstract: Blunt cerebrovascular injury (BCVI), which includes blunt carotid and blunt vertebral artery injuries, is a relatively rare but potentially catastrophic injury. Due to the variety of clinical manifestations of blunt cerebrovascular injury and the fact that the injury is often associated with multiple organ and system injuries, clinicians are often difficult to preliminarily identify. With the use of screening methods and testing tools such as CT angiography (CTA), the incidence and mortality of blunt cerebrovascular injury are increasing. Many aspects of blunt cerebrovascular injury remain controversial, including screening criteria, diagnostic methods, and the best treatment for different types of injury. This paper will review the pathogenesis, screening, diagnosis and treatment of BCVI.
文章引用：周学辉, 李津健, 郭洪彬, 李新伟, 王义荣. 钝性脑血管损伤的筛查及诊疗进展综述[J]. 临床医学进展, 2020, 10(11): 2667-2763. https://doi.org/10.12677/ACM.2020.1011406

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