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여광희 ( Kwang Hee Yeo ),박찬용 ( Chan Yong Park ),김호현 ( Ho Hyun Kim ),박순창 ( Soon Chang Park ),염석란 ( Seok Ran Yeom ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.2
Purpose: Cultivator accidents are frequent and often lead to abdomino-perineal organ injury and, if severe, to death. This study presents the clinical characteristics, outcomes, and factors associated with mortality in patients who sustained an abdomino-perineal organ injury in cultivator accidents. Methods: We retrospectively analyzed the records of 53 patients who visited the emergency department of a tertiary hospital with abdomino-perineal organ injuries caused in cultivator accidents from April 2005 to March 2010. Results: All 53 patients had visited other medical institutions before visiting our hospital. Their mean age was 64.0± 11.1 (range, 20-80) years and 32 (60.4%) patients were 65 or older. The male-to-female ratio was 46:7. The chief complaint was abdominal pain (38 cases, 71.7%). The 53 patients included 41 cultivator operators (77.4%), 11 passengers (20.8%), and 1 passerby (1.9%). The causes of the injuries included a direct impact of the handlebar in 20 cases (37.7%), a rollover in 21 cases (39.6%), a fall in 10 cases (18.9%), and a wheel in two cases (3.8%). Several of the 53 patients had injuries to multiple abdomino-perineal organs, and the injured organs included the liver (23 cases, 26.4%), spleen (16 cases, 18.4%), pancreas (7 cases, 8.0%), small bowel (7 cases, 8.0%), mesentery (6 cases, 6.9%), adrenal gland (5 cases, 5.8%), and other organs. According to the abbreviated injury scale (AIS) dictionary, a thoracic injury was the most frequent co-injury (33 of 53 cases, 62.3%). Abdomino-perineal surgery was performed in 31 cases (58.8%) and angio-embolization was performed for six liver and two kidney injuries. Thirteen patients died (24.5%); all were males. The Injury Severity Scale (ISS) was lower in the survivors (17.8±8.5 vs. 27.0±16.0; p=0.010). Conclusion: With the aging of agricultural workers, safety education programs should be implemented. Furthermore, the patient transfer system in agricultural areas must be improved. [ J Trauma Inj 2015; 28: 60-66 ]
김선희 ( Seon Hee Kim ),최선우 ( Sun Woo Choi ),박성진 ( Sung Jin Park ),여광희 ( Kwang Hee Yeo ),김창완 ( Chang Wan Kim ),이상봉 ( Sang Bong Lee ),김호현 ( Ho Hyun Kim ),박찬용 ( Chan Yong Park ),김재훈 ( Jae Hun Kim ),황정주 ( J 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.2
Penetrating neck trauma involving spinal cord injury is relatively uncommon, but can be life-threatening. We report a case of 59-year-old female who presented with hypotension after stab injury self-inflicted with a scissor to her neck. Although Open removal of the scissor and control of bleeding were successfully done, penetration of spinal cord resulted in a neurologic impairment. [ J Trauma Inj 2015; 28: 71-74 ]
이상봉 ( Sang Bong Lee ),김재훈 ( Jae Hun Kim ),박찬익 ( Chan Ik Park ),여광희 ( Kwang Hee Yeo ) 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.3
Traumatic iliac vessel injuries constitute approximately 25% of all abdominal vascular injuries. Hospital mortality has been reported at 25~60% and is a result of uncontrolled hemorrhage and hypovolemic shock caused by extensive blood loss. We report the case of a 25-year-old female patient who experienced an external iliac artery injury caused by abdominal minimal stab wound. Traumatic iliac vessel injuries are life-threatening complication of abdominal or pelvic injuries and prompt diagnosis and accurate treatment are important. [ J Trauma Inj 2015; 28: 215-218 ]
복부 둔상에 의한 얕은엉덩휘돌이동맥 파열의 혈관조영색전술을 통한 성공적인 치료: 증례보고
이상봉 ( Sang Bong Lee ),박성진 ( Sung Jin Park ),여광희 ( Kwang Hee Yeo ),김호현 ( Ho Hyun Kim ),박찬용 ( Chan Yong Park ),김재훈 ( Jae Hun Kim ),김창완 ( Chang Wan Kim ),최선우 ( Seon Uoo Choi ),김선희 ( Seon Hee Kim ),황정주 ( 대한외상학회 2015 大韓外傷學會誌 Vol.28 No.1
Lat. abdominal wall hematoma with active bleeding is very rare but need prompt bleeding control. We report successful treatment by angiographic embolization of superficial circumflex iliac artery rupture caused by blunt trauma. A 60- year-old woman presented painful, enlarging, lat. abdominal wall mass with ecchymosis caused by blunt abdominal trauma. Contrast leakage of superficial circumflex iliac a. within the lt. ext. oblique m. hematoma was confirmed by abdominal computed tomography. Angiographic embolization was performed successfully. Patient was discharged at 4th day after trauma without complication. Angiographic embolization is important treatment option of lat. abdominal wall hematoma with active bleeding replacing emergency surgery. [ J Trauma Inj 2015; 28: 39-42 ]