외상성 장천공

As the mordern society progress, the traffic and industrial accidents are increasing, so the abdominal traumas are increased and more complexed. The diagnosis of intraabdominal solid organ injuries is easy for accuray of the imaging studies, but that of hollow viscus injuries is relatively difficult. And the diagnosis of lower gastrointestinal tract injuries can be missed and delayed because of early wrapping with other bowels and omentum, this delay in the diagnosis resulted in high morbidity and mortality, so the aggressive and rapid diagnostic work-up may be needed to decrease the rate of complications. The treatment of the injuries of the duodenum and colon is variable to condition and state of the patients such as the presence of combined injuries, degree of the shock and soilage, delay of the diagnosis and general condition of the patients. So we reviewed the 204 patients with the injuries of the intraabdominal hollow viscus operated in Chonnam University Hospital. We retrospectively analyzed the operative methods, complication and mortality rate. Also we tried to predict the outcome of the patients according to the trauma scores with APACHE-II and RTS(revised traurna score).