잠시만 기다려 주세요. 로딩중입니다.

두부외상 환자에 동반된 부외상의 임상적 고찰 Clinical Analysis of Associated Injuries in Head Injured Patients

대한신경외과학회지 1977년 6권 2호 p.379 ~ 390
문석배, 강영철, 김예철, 김승진, 김국기, 이봉암, 이영근,
소속 상세정보
문석배 (  ) 
경희대학교 의과대학 신경외과학교실

강영철 (  ) 
경희대학교 의과대학 신경외과학교실
김예철 (  ) 
경희대학교 의과대학 신경외과학교실
김승진 (  ) 
경희대학교 의과대학 신경외과학교실
김국기 (  ) 
경희대학교 의과대학 신경외과학교실
이봉암 (  ) 
경희대학교 의과대학 신경외과학교실
이영근 (  ) 
경희대학교 의과대학 신경외과학교실

Abstract


The increase in the prevalence of head injury amongst civilian population and the provision of adequate hospital services have become matters of world-wide concern: Many present-day accidents may result in the victims receiving multiple complex injuries beside head injuries and the prognosis may become unfavorable in these patinets. Therefore, the neurosurgeon must be alert to the possibility that his patients have injuries to areas outside the brain and be capable of rendering necessary, often lifesaving, treatment during the initial phase of management.
We analysed associated injuries in 1523 head injured patients admitted to Department of Neurosurgery, Kyung Hee University Hospital from October, 1971 till September, 1977. The results were as follows;
1) The incidence of associated injury was 23.6% of all 1523 head injured patients.
2) In all head injuries, male outnumbered female by almost 2 to I and the ratio was similar in associated injury group (2.4 : 1).
3) The age distribution of all head injuries was 3rd, 1st and 4th decades in order, but in associated injury group it was 4th, 3rd and 5th decades in order.
4) Common causes of head injuries were traffic accidents (76.6%) and fall (11.6%), but in aasociated injury group traffic accident was the most frequent cause (90.8%).
5) The incidence of associated injury was higher in relation to the severity of head injury.
6) The sites of associated injuries were distributed as limbs, chest and face in order and the most frequent nature of associated injuries was fracture.
7) Single associated injury was more frequent than multiple, associated injury, about 5 to 1.
8) Overall mortality rate of all head injuries was 9.3% in contrast that of associate injuries was 17.5%.
9) Surgical mortality rate was significantly higher in associated group (40.3%) than nonassociated group (26. 1%).
10) In multiple associated injuries the mortality rate was higher (21.3%) than in single associated injury (16.4%).
11) Mortality rate according to associated injured sites was as follows; 36% for visceral injuries and 34. 1% for chest injuries.
12) The mortality rate was highest in serious chest injuries such as hemo and/or pneumothorax and in hypovolemic shock on admission (60%).

키워드

원문 및 링크아웃 정보

등재저널 정보

KoreaMed
KAMS