Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

A Clinical Analysis of Abdominal Stab Injuries

복부 자상 환자에 대한 임상적 고찰

  • Han, Jae Woong (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Byung Chun (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Jung, Jae Pil (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Cho, Ji Woong (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Chung, Bong Hwa (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Chung, Kyung Suk (Department of General Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kang, Koo Hyun (Department of Emergency Medicine, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
  • 한재웅 (한림대학교 의과대학 외과학교실) ;
  • 김병천 (한림대학교 의과대학 외과학교실) ;
  • 정재필 (한림대학교 의과대학 외과학교실) ;
  • 조지웅 (한림대학교 의과대학 외과학교실) ;
  • 정봉화 (한림대학교 의과대학 외과학교실) ;
  • 정경석 (한림대학교 의과대학 외과학교실) ;
  • 강구현 (한림대학교 의과대학 응급의학교실)
  • Received : 2006.10.18
  • Accepted : 2006.11.22
  • Published : 2006.12.30
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Abstract

Purpose: This study was done to evaluate the incidence, type of injury, medical consequences, mortality, and prognostic factors associated with stab wounds in patients who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea. Methods: A retrospective analysis of the clinical data of 40 patients with abdominal stab wounds who visited Kangnam Sacred Heart Hospital, Hallym University, Seoul, Korea from January 1, 2000 to December 31, 2004. Results: 1) The most prevalent age group was patients in their the twenties to fourties (77.5% of all patients), and average age of the patients was 39.3 years. The male-to-female ratio was 2.07:1. 2) The external site of stab wounds was most commonly the periumbilcal area of the abdomen (14 cases, 33.3%). 3) The most commonly injured organs were the liver and the stomach (10 cases each, 16.9%). 4) Operations were performed on all 40 patients, with 9 (22.5%) negative operation findings. 5) Death occurred in 5 cases (12.5%). 6) The trauma indices of the death group were TRISS 51.9%, RTS 3.6 points, and APACHE II 23.0 points. 7) The average transfusion amount of the death group was 13.8 pints Conclusion: These data suggest that the transfusion amount and the trauma index of abdominal stab injuries may be statistically significant factors for predicting mortality.

Keywords

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