http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
이삼우,유기철,박석현,안무업,안희철,최영미,정재봉,서정열,조준휘,신호승 대한응급의학회 2002 대한응급의학회지 Vol.13 No.4
Neck trauma can result in a spectrum of injuries and complications ranging from incidental to life threatening, including hemorrhagic shock, acute neurologic injury, and airway obstruction. A prevertebral hematoma associated with a cervical vertebra fracture is not a common condition, moreover, in such cases, airway obstruction is rare. If this condition occur, it may very fatal that can producing hypoxia, cyanosis, acidemia, hypoxic brain damage, and then death. For this reason, the attending physitian must careful observation and protect the airway until the hematoma is reduced and other complication relieved. Recently, we experienced a case of airway obstruction induced by cervical vertebra teardrop fracture (C5). the hematoma progressed slowly and then progressively; Finally it compressed the airway. So we present this case with a reviews of the literature.
안희철,서정열,정재봉,최영미,최정태,유기철,안무업,최광민,김홍기,김성환,조준휘 대한응급의학회 2002 대한응급의학회지 Vol.13 No.1
Purpose: This study was conducted to examine various clinical factors for their ablity to predict mortality in geriatric patients following trauma. Methods: In this retrospective study, medical records from Chun Cheon Sacred Heart hospital were reviewed for patients 65 years and older who sustained trauma. The following variables were extracted and examined, independently and in combination, for their ablity to predict death: age, gender, mechanism of injury, blood pressure, and respiration, pulse rate, as well as Glasgow Coma Score, Revised Trauma Score, and Injury Severity Score. These patients had entered the hospital following trauma during a 2-year period (1999-2000). Results: The Injury Severity Score (more than 28), the Glasgow Coma Score (less than 9), and the Revised Trauma Score (less than 9), were variables that correlated with mortality. Mortality rates were higher for men than for women. Admission variables associated with the highest risks of death included hypotension (mean blood pressure <78 mmHg); pedestrian and motorcycle traffic accident; skull fracture, subdural hemorrhage, and diffuse axonal injury; and hemothorax and lung contusion. Conclusion: Admission variables in geriatric trauma patients can be used to predict the outcome and may also be useful in making decisions about triage, and treatment of the patient.