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KMID : 0374019830060030163
Ewha Medical Journal
1983 Volume.6 No. 3 p.163 ~ p.170
A Clinical Study of Abdominal Trauma


Abstract
70 patients of abdominal trauma were reviewed for 8 years from June 1974 to June 1982 and the results wore as follows
1) The monthly distribution indicated prominent incidence was September.
2) The male to female ratio was 5 : 1 and the prevalent age was third decade (42.9%)
3) The most common mode of injury was traffic accident (34.3 %), stabbing (~l A %), blowing and kicking (25.7 %), in order of frequency.
4) Among 70 cases, 48 cases (68.6%) were blunt trauma. whereas 22 cases (31.4 %) were penetrating injury.
5) 24 cases (49 %) of injuried patients were operated within 6hrs. after injury
¢¥ and 40 cases (81.6 %) of injuried patients were operated within 24hrs. after injury.
6) The clinical manifestations were abdominal pain (90 %), tenderness (82 %),ri-. i
gidity (68.6 %), rebound tenderness (60 %).
7) Abdominal paracentesis was performed in 23 cases, of which 18 cases(78.3 OQ revealed positive findings.
8) The injuried intraperitoneal organs were small intestine (36.9 %), mesentery (21.9 % ), spleen (10.9 %), retroperitoneum in the order o f frequen cy.
{. 9) The associated injuries¢¥ were chest injury, fractureof lower extremities, rib fracture, pelvic bone fracture in the order of frequency.
10) Primary closure of G-1 _tract, splenectomy was done mostly.
;11) The complication were seen in 12 cases and the wound infection (41.7 %) was the most common
¢¥12) Overall mortality rate was 4.3% and the cause of death was hypovolemic shock in most part.
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