Two hundred and ninety six patients with abdominal trauma who had beeii admitted to Busan National University Hospital for past 4 years from January 1976 to December 1979 were reviewed clinically and the following results were obtained.
1. The sex distribution was 261 males(88. 2%) and females (11.8%) with ratio of 7.5:1, and the age distribution revealed a high incidence in the third and fourth decades (58.5%).
2. The seasonal distribution showed the highest incidence in spring involving 94 cases (31.2%). Penetrating trauma was the most common in summer and blunt trauma was the most common in spring.
3. The mechanisms of abdominal trauma were blunt in 210 cases (70.9%) and penetrating in 86 cases (29.1%) with ratio of 2.4 : 1. Common causes of abdominal trauma were traffic accident (34%), stab wound (28.4%) and violence (20.0 %) in order of frequency.
4. The clinical manifestations were abdominal pain (93.9%), abdominal tenderness (83.1%), abdominal rigidity (61.1%), abdominal distension (34. 1%) etc. in order of frequency.
5. Conventional diagnostic procedures were valuable in determination of exploratory laparotomy.- Abdominal tap was positive in 81.3% and pneumoperitoneum was found in 22.9%.
6, About half of the patients were explored within 6 hours from trauma.
7. Injured organ was single intraabdominal in 224 cases (75. 6%) and multiple intraabdominal in 72 cases (24.3%) and in cases of single intraabdominal organ injured, jejunum was the most common, followed by ileum (38 cases), liver
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