중증외상환자에서 동반된 척추 및 척수손상에 대한 임상적 분석 = A Clinical Analysis of Spinal Injuries in Severe Trauma Patients

다국어 초록 (Multilingual Abstract)

Background: The traumatic spinal injury is an extremely serious condition that often results in death or disabilities. We investigated epidemiological data on spinal injuries specifically in severe trauma patient admitted to a preliminarily proposed Major Trauma Distinctive Care Center.
Materials and Methods: We reviewed the medical records of 28 severe trauma patients (Injury Severity Score >15) with traumatic spinal (vertebral column or spinal cord) injuries admitted to the emergency medical center in the Kosin University Gospel Hospital (KUGH) from January to October 2009, retrospectively.
Results: The ratio of male to female was 3 to 1. The mean age was 46.5 years. The leading causes of traumatic spinal injury are falls (39.4%). The most common level of injury was cervical (35%) and lumbar (35%) spine. Spinal fracture accounts for 47.8% of all traumatic spinal injury, spinal cord injury 37%, dislocation 8.7% and HNP (herniated nucleus pulposus) 6.5%. The most common type of spinal body fracture was compressive type (58.8%). In spinal cord injury, incomplete injury (64.7%) was more common than complete injury (35.3%) and quadriplegia accounts for 47.1% and paraplegia 52.9%. The most common associated injury was rib fracture & pneumohemothorax (31.2%). 5 patients underwent surgery earlier than 24 hours. The average Injury Severity Score (ISS) was 24.2 and the average Abbreviated Injury Scale Score (AISS) was 3.5.
Conclusion: This clinical analysis is the first basic study for understanding the patterns of the spinal injuries in the severe trauma patients admitted to KUGH emergency medical center which was preliminarily proposed as Major Trauma Distinctive Care Center by Ministry for Health, Welfare and Family Affairs in November 2008. Although this study has only small number of cases during relatively short term period, it will be touchstone of succeeding analysis of spinal injuries in the severe trauma patients. Therefore continuous additional data collections and more precise clinical investigations are suggested

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 1. 연구대상 및 기간
• 2. 연구방법
• 결 과
• 1. 연령 및 성별분포
• 2. 내원수단 및 발생원인
• 3. 척추 손상부위
• 4. 동반손상
• 5. 척추 수술 여부 및 수술명
• 6. 평균 ISS 및 척추손상에 대한 AISS
• 7. 응급실환자의 결과
• 고찰
• 결론
• 참고문헌

참고문헌 (Reference)

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