Clinical analysis were performed on 247 cases. of thoracic trauma, those admitted & treated at the department of thoracic & cardiovascular surgery, Hanyang University Hospital during the period from Jan, 1989 to June, 1992. Age distribution of
those was
from 2 to 80 years old & mean age was 38 years old. The ration of male to female patient was 186:61(3:1).
This ratio revealed high incidence in male patient. The most common cause of trauma was traffic accident in this series. The modes of injury were as follows: traffic accident 124 cases(50.2%), fall down 52 cases(21.05%), stab wound 47
cases(19.03)
and
gun-shut wound 1 case.
Ellapse time from accident to admission were 141 cases(57.09%) under 6 hr. Rib fracture were observed in 159 cases(64.37%), hemo or pneumothorax were observed 134 cases(54.25%) of total cases and location distributed Right: Left:Both(74:112:37).
In
left
predominant. Conservative, nonoperative treatment were performed in 128 cases and operation(open thoracotomy) 32 cases.
Mortality was 1. 6%(4 cases) & most cause of death were due to irreversible shock with brain edema. Conclusively, more evaluation & co-operation of other department were expected treatment & better prognosis. (Korean J Thoracic Cardiovas Surg
1993;26:944-9)
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