The case of surgical treatment of a victim with an injury to the common carotid artery

Diagnosis of vascular injuries is sometimes very difficult. You should always remember about the possibility of such injuries, taking into account: the location of the wound (N.I. Pirogov also pointed out the value of this diagnostic feature), data on bleeding after injury, the degree of developed anemia, the presence, absence or weakening of the pulsation of the artery distal to the injury site , noise phenomena during auscultation, the presence or absence of a hematoma in the wound area, pain and paresthesia on the side of the wound, as well as ischemic contractures. The main danger in vascular injuries is bleeding, the intensity of which depends on the size of the wound and the defect in the vessel wall. The most dangerous are wide ruptures of large vessels, which include the common carotid artery.