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KMID : 0377619760310060665
Korean Jungang Medical Journal
1976 Volume.31 No. 6 p.665 ~ p.672
Clinical Assessment of Associated. Injuries in Craniocerebral Injured` Patients





Abstract
The ever-growing traffic on the roads is one of the main causes of the rise in the number of head injured patients, fall and violence are also increasing constantly, so that more and more people are suffering from head injuries. These many present-day accidents frequently result in the victims receiving multiple complex injuries beside head injuries and the prognosis of such patients become unfavorable. For example, it is well, known that the combination of head injuries and chest injuries is hazardous. This paper is concerned with the problem of associated injuries , in 575 head injured patients admitted to Department of Neurosurgery, Kyung Hee University Hospital from January to December. in 1975. The results were as follows;
1) In head injured patients, males outnumbered females by almost 2 to 1. The age incidence was greatest in 3rd decade.
2) The head injuries were caused by traffic accident(72.8%), falls from heights (18.2%), direct blow(8.7%) and bullet injury(0.35%).
3). Significant associated injury was present in 24% of the total patients and the most frequent nature of the associated injuries was fracture.
4) The sites of the associated injuries were distributed as limbs(39. 7%.), chest (15.4%), pelvis(11.6%) and abdomen(8.5% in order.
5) Each, mortality rate of the associated injuries was as follows; 25.0% for
abdomen, 24. 1% for chest and 13.6% for pelvis.
6) Overall mortality rate of head injured patients was 8.3%, in contrast, that of the patients with, associated injuries was 10.9%.
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