늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인

늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인

Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the eff...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Daehan oe'sang haghoeji 2013-09, Vol.26 (3), p.170-174
Hauptverfasser: 변천성, Chun Sung Byun, 박일환, Il Hwan Park, 배금석, Geum Suk Bae, 정필영, Pil Yeong Jeong, 오중환, Joong Hwan Oh
Format: Artikel
Sprache:kor
Schlagworte:
Flail chest
Rib fracture
Trauma
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 174
container_issue 3
container_start_page 170
container_title Daehan oe'sang haghoeji
container_volume 26
creator 변천성
Chun Sung Byun
박일환
Il Hwan Park
배금석
Geum Suk Bae
정필영
Pil Yeong Jeong
오중환
Joong Hwan Oh
description Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was 19.08±10.57. Between the two groups, there was a significant difference in mean ventilator time (p
format Article
fullrecord <record><control><sourceid>kiss_kisti</sourceid><recordid>TN_cdi_kisti_ndsl_JAKO201336049119577</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><kiss_id>3195293</kiss_id><sourcerecordid>3195293</sourcerecordid><originalsourceid>FETCH-LOGICAL-k507-e43d8c5ee9ce4836eb843a72e6af35708cb50514a19bb879193dda8dbd6d00f43</originalsourceid><addsrcrecordid>eNo9jL9KA0EYxBdRMMQ8gc02lge79-3dfluG4P9ACtMfd9kNHIkiORs7EQtNE4VAEslBGjGFYECL-ErZzTt4qFgMAzO_mQ1S8n2UHg8RNkmJS0APZSi3SSXL0oQxzgWiwhI5s_2n1cecFnKze5ePqZveua_xanFD7WDinofr_OEnzj_Xk7GbzqldDKi7fbOvuX2ZudEjte_LYmH7Q1rgLl_ukK123M1M5c_LpHmw36wdefXG4XGtWvc6AZOeEaCxFRijWkYghCZBAbH0TRi3IZAMW0nAAi5irpIEpeIKtI5RJzrUjLUFlMne720nza7S6EJn3eiketrwGQcImVCcq0DKgtv957Lospeex73rCIrSVwDfFX1tww</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인</title><source>DOAJ Directory of Open Access Journals</source><creator>변천성 ; Chun Sung Byun ; 박일환 ; Il Hwan Park ; 배금석 ; Geum Suk Bae ; 정필영 ; Pil Yeong Jeong ; 오중환 ; Joong Hwan Oh</creator><creatorcontrib>변천성 ; Chun Sung Byun ; 박일환 ; Il Hwan Park ; 배금석 ; Geum Suk Bae ; 정필영 ; Pil Yeong Jeong ; 오중환 ; Joong Hwan Oh</creatorcontrib><description>Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was 19.08±10.57. Between the two groups, there was a significant difference in mean ventilator time (p&lt;0.048), but no significant difference in either traumarelated morbidity (p=0.369) or mortality (p=0.189). Conclusion: An anterior flail chest frequently affects the two underlying lung parenchyma and can cause a bilateral lung contusion, a hemopneumothorax and lung hemorrhage. Thus, it needs longer ventilator care than a lateral flail chest does and is more frequently associated with pulmonary complications with poor outcome than a lateral flail chest is. In a severe trauma patient with a flail chest, especially an anterior flail chest, we must pay more attention to the pulmonary care strategy and the bronchial toilet.</description><identifier>ISSN: 1738-8767</identifier><identifier>ISSN: 2799-4317</identifier><identifier>EISSN: 2287-1683</identifier><language>kor</language><publisher>대한외상학회</publisher><subject>Flail chest ; Rib fracture ; Trauma</subject><ispartof>Daehan oe'sang haghoeji, 2013-09, Vol.26 (3), p.170-174</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885</link.rule.ids></links><search><creatorcontrib>변천성</creatorcontrib><creatorcontrib>Chun Sung Byun</creatorcontrib><creatorcontrib>박일환</creatorcontrib><creatorcontrib>Il Hwan Park</creatorcontrib><creatorcontrib>배금석</creatorcontrib><creatorcontrib>Geum Suk Bae</creatorcontrib><creatorcontrib>정필영</creatorcontrib><creatorcontrib>Pil Yeong Jeong</creatorcontrib><creatorcontrib>오중환</creatorcontrib><creatorcontrib>Joong Hwan Oh</creatorcontrib><title>늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인</title><title>Daehan oe'sang haghoeji</title><addtitle>대한외상학회지</addtitle><description>Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was 19.08±10.57. Between the two groups, there was a significant difference in mean ventilator time (p&lt;0.048), but no significant difference in either traumarelated morbidity (p=0.369) or mortality (p=0.189). Conclusion: An anterior flail chest frequently affects the two underlying lung parenchyma and can cause a bilateral lung contusion, a hemopneumothorax and lung hemorrhage. Thus, it needs longer ventilator care than a lateral flail chest does and is more frequently associated with pulmonary complications with poor outcome than a lateral flail chest is. In a severe trauma patient with a flail chest, especially an anterior flail chest, we must pay more attention to the pulmonary care strategy and the bronchial toilet.</description><subject>Flail chest</subject><subject>Rib fracture</subject><subject>Trauma</subject><issn>1738-8767</issn><issn>2799-4317</issn><issn>2287-1683</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>JDI</sourceid><recordid>eNo9jL9KA0EYxBdRMMQ8gc02lge79-3dfluG4P9ACtMfd9kNHIkiORs7EQtNE4VAEslBGjGFYECL-ErZzTt4qFgMAzO_mQ1S8n2UHg8RNkmJS0APZSi3SSXL0oQxzgWiwhI5s_2n1cecFnKze5ePqZveua_xanFD7WDinofr_OEnzj_Xk7GbzqldDKi7fbOvuX2ZudEjte_LYmH7Q1rgLl_ukK123M1M5c_LpHmw36wdefXG4XGtWvc6AZOeEaCxFRijWkYghCZBAbH0TRi3IZAMW0nAAi5irpIEpeIKtI5RJzrUjLUFlMne720nza7S6EJn3eiketrwGQcImVCcq0DKgtv957Lospeex73rCIrSVwDfFX1tww</recordid><startdate>20130930</startdate><enddate>20130930</enddate><creator>변천성</creator><creator>Chun Sung Byun</creator><creator>박일환</creator><creator>Il Hwan Park</creator><creator>배금석</creator><creator>Geum Suk Bae</creator><creator>정필영</creator><creator>Pil Yeong Jeong</creator><creator>오중환</creator><creator>Joong Hwan Oh</creator><general>대한외상학회</general><scope>HZB</scope><scope>Q5X</scope><scope>JDI</scope></search><sort><creationdate>20130930</creationdate><title>늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인</title><author>변천성 ; Chun Sung Byun ; 박일환 ; Il Hwan Park ; 배금석 ; Geum Suk Bae ; 정필영 ; Pil Yeong Jeong ; 오중환 ; Joong Hwan Oh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k507-e43d8c5ee9ce4836eb843a72e6af35708cb50514a19bb879193dda8dbd6d00f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2013</creationdate><topic>Flail chest</topic><topic>Rib fracture</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>변천성</creatorcontrib><creatorcontrib>Chun Sung Byun</creatorcontrib><creatorcontrib>박일환</creatorcontrib><creatorcontrib>Il Hwan Park</creatorcontrib><creatorcontrib>배금석</creatorcontrib><creatorcontrib>Geum Suk Bae</creatorcontrib><creatorcontrib>정필영</creatorcontrib><creatorcontrib>Pil Yeong Jeong</creatorcontrib><creatorcontrib>오중환</creatorcontrib><creatorcontrib>Joong Hwan Oh</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><collection>KoreaScience</collection><jtitle>Daehan oe'sang haghoeji</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>변천성</au><au>Chun Sung Byun</au><au>박일환</au><au>Il Hwan Park</au><au>배금석</au><au>Geum Suk Bae</au><au>정필영</au><au>Pil Yeong Jeong</au><au>오중환</au><au>Joong Hwan Oh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인</atitle><jtitle>Daehan oe'sang haghoeji</jtitle><addtitle>대한외상학회지</addtitle><date>2013-09-30</date><risdate>2013</risdate><volume>26</volume><issue>3</issue><spage>170</spage><epage>174</epage><pages>170-174</pages><issn>1738-8767</issn><issn>2799-4317</issn><eissn>2287-1683</eissn><abstract>Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was 19.08±10.57. Between the two groups, there was a significant difference in mean ventilator time (p&lt;0.048), but no significant difference in either traumarelated morbidity (p=0.369) or mortality (p=0.189). Conclusion: An anterior flail chest frequently affects the two underlying lung parenchyma and can cause a bilateral lung contusion, a hemopneumothorax and lung hemorrhage. Thus, it needs longer ventilator care than a lateral flail chest does and is more frequently associated with pulmonary complications with poor outcome than a lateral flail chest is. In a severe trauma patient with a flail chest, especially an anterior flail chest, we must pay more attention to the pulmonary care strategy and the bronchial toilet.</abstract><pub>대한외상학회</pub><tpages>5</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1738-8767
ispartof Daehan oe'sang haghoeji, 2013-09, Vol.26 (3), p.170-174
issn 1738-8767
2799-4317
2287-1683
language kor
recordid cdi_kisti_ndsl_JAKO201336049119577
source DOAJ Directory of Open Access Journals
subjects Flail chest
Rib fracture
Trauma
title 늑골 골절의 위치가 동요흉의 이환율 및 사망률에 미치는 요인
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T02%3A08%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-kiss_kisti&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%EB%8A%91%EA%B3%A8%20%EA%B3%A8%EC%A0%88%EC%9D%98%20%EC%9C%84%EC%B9%98%EA%B0%80%20%EB%8F%99%EC%9A%94%ED%9D%89%EC%9D%98%20%EC%9D%B4%ED%99%98%EC%9C%A8%20%EB%B0%8F%20%EC%82%AC%EB%A7%9D%EB%A5%A0%EC%97%90%20%EB%AF%B8%EC%B9%98%EB%8A%94%20%EC%9A%94%EC%9D%B8&rft.jtitle=Daehan%20oe'sang%20haghoeji&rft.au=%EB%B3%80%EC%B2%9C%EC%84%B1&rft.date=2013-09-30&rft.volume=26&rft.issue=3&rft.spage=170&rft.epage=174&rft.pages=170-174&rft.issn=1738-8767&rft.eissn=2287-1683&rft_id=info:doi/&rft_dat=%3Ckiss_kisti%3E3195293%3C/kiss_kisti%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_kiss_id=3195293&rfr_iscdi=true