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- 저자 : 한국남 ( Gook Nam Han ) (검색결과 1 건)
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한국인 중증 외상 환자에서 촬영한 경추 외측면 단순 방사선 영상의 적절성
이경학 ( Kyung Hag Lee ),김영철 ( Yeong Cheol Kim ),최석호 ( Seok Ho Choi ),한국남 ( Gook Nam Han ),이수언 ( Soo Un Lee ),이정은 ( Jung Eun Lee ),서길준 ( Gil Joon Suh ),윤여규 ( Yeo Kyu Yoon ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Purpose: The objective of this study was to investigate the appropriateness of the cross table lateral cervical X-ray used in the emergency department for severely traumatized Korean patients. Methods: Patients visiting our institution from May 2011 to May 2012, who had injury severity score (ISS) > 15 and who received a cervical X-ray in the emergency department, were included in this study. Data including demographics, ISS score, GCS score, and place where the x-ray was taken were collected to evaluate their relationship with appropriate coverage of the cervical X-ray. The appropriateness of a cervical cross lateral view Xray was evaluated using exposure of the basion, and the opisthion, as well as the distal level of exposure. Results: Fifty-two patients were included in this study. The identification rate of the basion was 79.2%, and the identification rate of the opisthion was 88.7%. Complete exposure of C7/T1 was accomplished in 3.8% of the patients. The ISS was higher for X-ray taken in the trauma bay, but the range of exposure showed no difference between the places where the X-rays taken. Patients who had exposure of C 5/6 or more had lower body weight and body mass index (BMI) compared with unexposed patients. Conclusion: In severely traumatized Korean patients, the adequacy of the cross table lateral cervical X-ray was inappropriate in most cases. No difference was observed in the exposure range between the places where the X-rays were taken, and patients with less exposure showed higher body weight and higher BMI. (J Trauma Inj 2012;25:241-246)
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