복부외상의 임상적 고찰 = Clinical Study of Abdominal Trauma

다국어 초록 (Multilingual Abstract)

This report is a review of 177 patients who admitted and were operated at the Department of General Surgery, Kosin Medical College, Pusan Gospel Hospital from January 1970 to December 1986.
The results were as follows;
1. The most common age group was 3rd decade(27.1%) and 4th decade(28.2%). Male to female ratio was 53 1
2. Most of abdominal injury was occurred by blunt trauma(85.9%). In blunt trauma, common causes were violence(27.1%), traffic accident(237.%), and falldown(22.6%). In penetrating trauma, the most common cause was stab wound(13%).
3. Leukocytosis (>10,000mm^(3))on admission was found in 59.6% of patients and it was found more frequently in solid organ injury(81.8%) than GIT injury(48.9%) Bleeding (Hb<10gm%) occurred more frequently in solid organ injury(39.6%) than GIT injury(4%) Hemoconcentration(Hb>14gm%) was found more frequently in GIT injury(55.6%) than solid organ injury(18.8%)
4. Chest or plain abdomen film showed free air shadow in 60.5% of GIT injury. The frequency of free air shadow was higher in small bowel(64%) and colon injury(60%) than other injury sites.
5. Two thirds of patients were operated within 24 hours following trauma but one thirds were delayed until 24 hours or more after trauma.
6. Git was more vulnerable to abdominal trauma than solid organs were. Frequent injury sites were small bowel(40%), spleen(13%), liver(11%) and colon(10%).
7. The overall mortality was 10.7%. The causes of deaths were sepsis, hypovolemic shock, respiratory failure, cardiac failure, renal failure and coronary embolism.
8. Two important factors that influenced the mortality rate in duodenal injury were delayed operation until 24 hours or more after injury and multiple organ injury.