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腹部外傷의 臨床的觀察

Clinical Study of Abdominal Trauma

대한외과학회지 1967년 9권 4호 p.217 ~ 222
노인환,
소속 상세정보
노인환 (  ) - 대구 제1육군병원 일반외과

Abstract


Clinical review was made 21 patients of abdominal trauma who received surgical intervention at The 1st Army Hospital for 3 years from 1963 to 1966.
1) 12 cases of penetrating injuries and 9 cases of non-penetrating were seen.
2) The organs injured, in order of frequency, were large intestine, small intestine, liver, spleen, stomach, kidney, bladder.
3) Most of wounded patients were seen and operated on within 12 hours after injury.
4) Special diagnostic procedures which were Roentgenologic examination, W. B. C. count, needle paracentesis aided to diagnosis of visceral injury, but they did not replace repeated clinical evaluation in diagnostic accuracy.
5) A transperitoneal approach through a midline incision seemed preferable.
6) The objectives of operation were contol of hemorrhage and prevention of continued contamination of the peritoneal cavity. The treatment of bleeding point had high priority. Spleen, large intestine and small intestine were treated serially.
7) Multiple abdominal injuries required close cooperation between general surgeon and urologist and extraperitoneal injuries required close consultation with orthopedist, thoracic surgeon and neurosurgeon.
8) Mortality was related to hemorrhge, associated injury and injured organ.

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