Maxillofacial Plastic and Reconstructive Surgery
- Volume 21 Issue 1
- /
- Pages.65-68
- /
- 1999
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- 2288-8101(pISSN)
- /
- 2288-8586(eISSN)
MULTIPLE FACIAL TRAUMA PATIENT ACCOMPANIED WITH SEVERE BLEEDING: REPORT OF A CASE
과도한 출혈을 동반한 다발성 안면부 외상 환자의 치험례
- Oh, Seong-Seob (Dept. of Dentistry, College of Medicine, Inha Univ.) ;
- Yoo, Dae-Jin (Dept. of Dentistry, College of Medicine, Inha Univ.) ;
- Kim, Il-Kyu (Dept. of Dentistry, College of Medicine, Inha Univ.) ;
- Choi, Jin-Ho (Dept. of Dentistry, College of Medicine, Inha Univ.) ;
- Kim, Hyung-Don (Dept. of Dentistry, College of Medicine, Inha Univ.) ;
-
Oh, Nam-Sig
(Dept. of Dentistry, College of Medicine, Inha Univ.)
;
- Hwang, Hong-Jun (Dept. of Dentistry, College of Medicine, Inha Univ.)
- 오성섭 (인하대학교 외과대학 치과학 교실) ;
- 유대진 (인하대학교 외과대학 치과학 교실) ;
- 김일규 (인하대학교 외과대학 치과학 교실) ;
- 최진호 (인하대학교 외과대학 치과학 교실) ;
- 김형돈 (인하대학교 외과대학 치과학 교실) ;
-
오남식
(인하대학교 외과대학 치과학 교실)
;
- 황홍준 (인하대학교 외과대학 치과학 교실)
- Received : 1998.08.25
- Accepted : 1998.12.04
- Published : 1999.03.31
Abstract
Multiple facial trauma patient should be carefully treated because of severe bleeding on extraoral and intraoral wound, possibilty of airway obstruction and hypovolemic shock. Hypovolemic shock may be divided to hemorrhagic shock and non-hemorrhagic shock. Also hemorrhagic shock is divided to mild, moderate and severe shock according to the degree of blood volume depletion. Mild shock occurs in blood loss of less than 20% of blood volume and moderate shock does in blood loss of 20-40% of blood volume. And Severe shock occurs in blood loss of more than 40% of blood volume. The goal of emergency care of trauma patient is that respiration and perfusion should be recovered to satisfactory level and that normal vital sign is maintained. We reported the case of multiple facial trauma patient with severe bleeding and hopovolemic shock and metabolic acidosis who was treated with adequate supply of fluid transfusion, intubation, tracheostomy and emergency operation.