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KMID : 0371319950490060931
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Journal of the Korean Surgical Society
1995 Volume.49 No. 6 p.931 ~ p.936
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The Relationship between Hematuria as a Predictor and Abdominal Injury after Blunt Trauma
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김성용
한규황/이문수/김형철/송옥평/조무식/박희주
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Abstract
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This report is consist of review of 141 patients who admitted and operated into surgical department of Soon Chun Hyang Chun An Hospital during the past 6 months form january, to June, 1994.
Among 141 patients, 56 patients were found to both hematuria(RBC; above 5/1 HPF) and a significant intraabdominal injury not related to genitourinary system. The incidence of abdominal injury generally increased with the degree of hematuria,
approaching
83.9% in patients with many category including gross hematuria. For each category of degree of hematuria, patients with initial shock had a significantly higher incidence of abdominal injury (p<0.05) than patients without shock.
The incidence of abdominal injury in patients with hematuria and shock was 79.4% and it was 88.9% for patients with many category including gross hematuria and shock. In other hands, the incidence of abdominal injury patients without hematuria
except
initial shock was 29.0%
So, all patients with many category or hematuria and gross hematuria after blunt abbominal trauma and all patients with microscopic hematuria and a history of shock must evaluated for extrarenal intraabdominal injury as well as urologic injuries.
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KEYWORD
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