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外傷性 肝臟破裂의 臨床的 考察 A Clinical Study of 23 Cases of Traumatic Liver Injury

대한외과학회지 1974년 16권 9호 p.9 ~ 16
林敏一, 裵振善, 孫鍾夏,
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林敏一 (  ) 
서울赤十字病院 一般外科

裵振善 (  ) 
서울赤十字病院 一般外科
孫鍾夏 (  ) 
서울赤十字病院 一般外科

Abstract


This study is a review and analysis of 23 cases of liver injury who were admitted and treated in Dept. of General Surgery, Seoul Red Cross Hospital, from April, 1968 to July, 1974. The results are as follows;
1. Male was out-numbered female by the ratio of 2.8 : 1.
2. In regard to age distribution 2 cases (8.6%) were 1st decade, 5 cases (21.7%) were 2nd decade, 7 cases (30.3%) were 3rd. and 4th. decade, respectively, and 1 case (4.3%) was. 5th. and 6th. decade, respectively. The peak incidence was 3rd and 4th decade.
3. Among 23; cases, 5 cases (21.7%) were penetrating injury, whereas 18 cases (78.3%) were. non-penetrating injury. And the most common cause of accident was traffic accident (43.4%).
4. The most common site of injury was right lobe (68.8%), And the ratio of right to left was 5.3:1.
5. In 12 cases (52.1%), only the liver was injured.
6. 11 cases (47.3%) were operated after 12 hours from injury.
7. The most common symptom was abdominal pain (90.3%).
8. The operative procedures ´were as follows; Primary closure and drainage was performed in 12 cases (51.6%), hepatic artery ligation in 4 cases (17.2%), laparotomy and drainage in 3 cases (12.9%), primary closure and gauze-packing, gel-form packing, debridement and drainage, omentopexy and T-tube drainage in 1 case (4.3%), respectively.
9. The most common post-operative complication was pneumonia in 3 cases (12.9%).
10. Over all mortality rate was 12.9% And the causes of death were hypovolemia(2 cases) and renal failure (1 case).

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