• Journal of Trauma and Injury
• /
• 제36권4호
• /
• pp.441-446
• /
• 2023

Inferior vena cava (IVC) injuries, while accounting for fewer than 0.5% of blunt abdominal trauma cases, are among the most difficult to manage. Despite advancements in prehospital care, transportation, operative techniques, and perioperative management, the mortality rate for IVC injuries has remained at 20% to 66% for several decades. Furthermore, 30% to 50% of patients with IVC injuries succumb during the prehospital phase. A 65-year-old male patient, who had been struck in the back by a 500-kg excavator shovel at a construction site, was transported to a regional trauma center. Injuries to the right side of the infrarenal IVC and the right external iliac vein (EIV) were suspected, along with fractures to the right iliac bone and sacrum. The injury to the right side of the infrarenal IVC wall was repaired, and the right internal iliac artery was ligated. However, persistent bleeding around the right EIV was observed, and we were unable to achieve proximal and distal control of the right EIV. Attempts at prolonged manual compression were unsuccessful. To decrease venous return, we ligated the right superficial femoral vein. This reduced the amount of bleeding, enabling us to secure the surgical field. We ultimately controlled the bleeding, and approximately 5 L of blood products were infused intraoperatively. A second-look operation was performed 2 days later, by which time most of the bleeding sites had ceased. Orthopedic surgeons then took over the operation, performing closed reduction and external fixation. Five days later, the patient underwent definitive fixation and was transferred for rehabilitation on postoperative day 22.

• 한국동물위생학회지
• /
• 제43권2호
• /
• pp.59-65
• /
• 2020

The aim of the study was to investigate the seroprevalence of equine herpesvirus type 1 (EHV-1) and type 4 (EHV-4), equine influenza virus (EIV), and Streptococcus (S.) equi subspecies equi in the horse population of Jeju. Serum samples were taken from 71 horses, regularly vaccinated with EHV-1 and strangles twice (April and November) a year. In April 2014, seropositive rates of EHV-1 and strangles were 24.5% and 84.5%, while in November, were 26.8% and 62.0%, respectively. A total of 1,144 serum samples, including Jeju native horses, Halla horses, and Thoroughbred horses were collected from slaughter house for 4 years (2014 to 2017) and it is unclear the animals were vaccinated or not. The seropositive rates in Jeju was 21.9% (250/l,144) for EHV-1, 96.4% (1,103/1,144) for EHV-4, 14.6% (129/882) for EIV, and 79.3% (879/1,108) for strangles. The seropositive rate was the highest in Thoroughbred, but lowest in Hala horse.