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KMID : 0377619710210040333
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Korean Jungang Medical Journal
1971 Volume.21 No. 4 p.333 ~ p.339
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Neurosurgerical Study on Korean Wounded Veterans in the Vietnam Conflict
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朴東春/Park, Dong Chun
朴昌秀/全炳權/崔一龍/Park, Chang Soo/Chung, Byung Kwon/Choi, Il Ryong
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Abstract
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The authors have analyzed 781 cases of Korean wounded veterans who were evacuated from Vietnam Warfield, chiefly on view of neurosurgical aspect, collected for last 4 years and 10 months. The results of the observation are summarized as followings;
1. There divided into 275 cases of head injuries, 268 cases of peripheral nerve injuries, 128 cases of vertebral and spinal cord injuries and 110 cases of H.N.P. and others in the total 781 cases of the injured veterans.
2. In 275 cases of head injuries, 149 patients or 54.2% were injured from fragment of shell, explosives, grenade and booby trap, which were over to the ratio of the reports of `Neurological surgery of trauma in Korean war’ published by office of surgeon general department of the army, Washington and automobile-accident and bullet injury in that order.
3. On the site of head injury, the frontal injury was most frequent in rate of 40.4% and next temporal and parietal in that order. Craniectomy was carried out on 164 cases (60%) of head injuries and cranioplasty on 147 cases.
4. 48.7% of total head injuries were resulted into sequelae such as hemiplegia (13.8%), cranial nerve palsy, speech disturbance and epilepsy in that order.
5. In. the larger proportions of the causes of the peripheral nerve injuries, fragment injury occupied 66.4% and bullet 27% and total cases divided into 9% brachial injury, 20% ulnar injury, 15% median, 18% radial, 18% sciatic, 9.7% personnel, 7.5% tibial nerve injury.
6. On the other hand, 45. 3% of lumbar and 44. 7% of thoracic injury 17, ere demonstrated and paraplegia in 25% of cord injury.
7. In 128 cases of vertebral and spinal cord injury, 47.4% of cases were resulted from fragment injury, which was similar to the cases of the bullet injury in rate of 46% in Korean conflict.
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