http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
문용식,최정환,오명호,서용길,배영만 대한혈관외과학회 1992 Vascular Specialist International Vol.8 No.1
Despite of advances in prehospital and intraoperative care, vascular injury remains the primary cause of death following abdominal trauma. We reviewed 20 cases of major abdominal vascular injuries by trauma treated at the Department of Surgery of Capital Armed Forecs General Hospital between March, 1990 to March, 1992. The results were as follows' 1) The most common group of age was in 3rd decade, and the most frequent group of rank was private. All cases were male. 2) The mechanism of injury was blunt trauma in 11 cases(55%), penetrating trauma including gunshot and explosive wounds in 7 cases(35%) and iatrogenic trauma in 2 cases(10%). The most lethal mechanism of injury was gunshot wound. 3) The factors associate with increased mortality rate were initial systolic blood pressure less than 70 mmHg(Mortality rate= 71.4% or 5/7), initial hemoglobin concentration less than 10mg/dl(Mortality rate= 55.6% or 5/9), 10 or more units of transfused blood(Mortality rate= 57.1% or 4/7), 3 or more associted visceral injuries less than(Mortality rate=41.7% or 5/12) and site of injured vessel(the most lethal site of injured vessel was aorta). 4) Methods of vascular repair were ligation(46.2% or 12/26), lateral repair(42.3% or 11/26), reanastomosis after resection(7.7% or 2/26) and nephrectomy(3.8% or 1/26). 5) Causes of death were hypovolemic shock in 4 cases (80%), DIC in 1 case(20%). 6) Postoperative complications in survivors, in order of frequency were pulmonary problems (26.3%), wound infection(21.1%), DIC(10.5%), urethral stricture(10.5%) and renal failure(5.3%).