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외상성 횡격막 손상의 임상적 고찰

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Author(s)
최세영나찬영박창권이광숙유영선
Alternative Author(s)
Choi, Sae YoungNa, Chan YoungPark, Chang KwonLee, Kwang SookYoo, Young Sun
Publication Year
1989
Abstract
Seventeen patients with traumatic diaphragmatic injury treated at the Department of Thoracic and Cardiovascular Surgery, Keimyung University Dong San Medical Center from Aug. 1978 to Mar. 1989 were revicwed. There were 14 male and 3 female patients. The age distribution was uanged from 3 to 72 years, with a mean age of 43.6 years. Eleven patients had blunt trauma(traffic accident 10, fall down 1), and 6 had penetrating injuries(stab wound 5, brocken glass 1). Eleven (65 percent) of the injuries occurred on the left side and 6 (35 percent) on the right side. Ten patients were operated on during the acute phase, four patients durinig the latent phase, three patients during the obstructive phase. The surgical appoach in 14 patients wes through a thoracootomy; in 2 patients, a thoracoabdominal incision was necessary, and in 1 patient, a laparatomy was performed. Herniated organs in thorax included stomach(5), liver(3), colon(3), small bowel(1). Postoperative complications included wound infection, empyema, pneumonia, and respiratiory failure. There were 2 postoperative deaths, one with caused sepsis and one with repiratory failure.
Alternative Title
Traumatic Diaphragmatic Injuries
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.8(2) : 325-329, 1989
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/14595
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