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      • 腹部外傷 : Review o f 99 Cases

        金仁哲,李宰錫,韓景濬 中央醫學社 1967 中央醫學 Vol.13 No.4

        Authors presented a statistical observation and brief reviews of 99 cases of abdominal injuries who were admitted to St Paul's hospital, Catholic Medical Center, during the period from Jan 1963 to May 1967. Among the 99 patients of abdominal trauma, non-penetrating wounds were 84 cases (84.8%) and penetrating wounds 15 cases (15.2%). In 60 patients(60. 6 %) the cause of trauma was car accident. Kidney was the most common organ of injured (42.5 % ), spleen (26.0 %) and liver (18.1% ). The high frequency of associated injury was spine froceure (18. 1 % ). The common complication after operation for abdominal injuries were wound infection (5.3%), evisceration and pulmonary complication. Treatment for the rupture of abdominal solid organs were also discussed.

      • 自發性膽囊十二指腸瘻 : Report of A Case

        李永胄,韓景濬 최신의학사 1969 最新醫學 Vol.12 No.1

        Spontaneous internal biliary fistula is a very rare condition. It may be divided into following types. 1. Duodenal-biliary fistula. 2. Biliary-colonic fistula. 3. Biliary-gastric fistula. 4. Fistula between the bile ducts. 5. Bronchobiliary fistula. 6. Other rare internal biliary fistula. Among the above, the 1 common type is cholecysto-duodenal fistula which usually resulted from chronic inflammatory adhesion of the gall bladder to the duodenum. Gallstone is considered-7as an etiological factor since it is not uncommonly found in the case of cholecysto-duodenal fistula. Frequently it attacks older age group over 60 and reported as female preponderance. A case of spontaneous cholecysto-duodenal fistula was treated in the Dept. of Surgery, St. Paul's Hospital,. Catholic Medical College. It was 69years-old male, complained of nausea, vomitting, fever, jaundice and pain in the right upper abdomen. Under the clinical diagnosis of cholecystopathy, laparatomy was done. Operative finding showed inflammatory adhesion between gallbladder, duodenum and common bile duct. On opening of the gallbladder, no stone was identified, however, the wall is thickened. A fistulous tract was found in the base of the gallbladder, communicating with upper portion of the duodenum. Cholecystectomy, fistulectomy and adhesiotomy were carried out, and the patient was recovered uneventfully. In this case the previous existance of the stone shoule not be proved but a consideration bepaid that the store has passed through the fistula into the alimentary canal.

      • 腹部外傷 : Review of 155 cases

        朴榮洙,金弼觀,韓景濬 中央醫學社 1967 中央醫學 Vol.13 No.4

        Statistical observation and brief review of 155 cases of chest trauma who were admitted to the St. Paul's hospital, Catholic Medical Center, during from Jan. 1961 to Aug. 1967 were carried out. Among the 155 cases of chest injuries, non-penetrating wounds were 142 cases (91.6% )and penetrating 13 cases(8. 4 % ), which was considerablly different comparing to that of battle casualties. The most patients (116 cases) were caused by car accident in 142 cases of non-penfetrating injuries. In 49 cases, rib fracture was noticed and among them 28 cases were more than tone rib. Hemothorax (3 cases), pneumothorax (6 cases) and hemo-pneumothorax (10 cases) were also associated. Brief review on early accurate diagnosis and first aid to chest trauma were discussed.

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