A CLINICAL STUDY OF ABDOMINAL TRAUMA

Park, Joon Seok; Hyun, Seok Chun; Kim, Kab Deug; Song, Haw Shik

J Korean Soc Emerg Med > Volume 7(2); 1996 > Article

Original Article

Journal of The Korean Society of Emergency Medicine 1996;7(2): 274-279.

A CLINICAL STUDY OF ABDOMINAL TRAUMA

Joon Seok Park, Seok Chun Hyun, Kab Deug Kim, Haw Shik Song

Department of Emergency Medicine, Dankuk University Hospital Chunan Korea

Published online: June 30, 1996.

ABSTRACT

This report is a retrospective clinical study of 60 patients with abdominal trauma admitted and treated at the department of emergency medicine of DanKuk University hospital during the period from January 1995 to December 1995. we obtained following results. 1) The sex distribution was 45 males(75%) and 15(25%) females with significant predominence in male(3:1) , and the age distribution revealed high incidence in second to fourth decades(50%). 2) The causes of the abdominal trauma were traffic accident(80%) in most common, violence, fall down in order frequency. All were blunt trauma 3) The clinical manifestations and physical examination were abdominal pain(92%), abdominal tenderness, rigidity, decreased bowel sound, rebound tenderness in order frequency. 4) The shock status on admission(below 80 mmHg in systolic) were 10 cases with high mortality (30%). 5) The hematocrit changes in serial check after admission were 36 cases(60%). 6) The diagnostic methods were abdominal paracentesis, simple X-ray, abodminal sonography, abdominal CT, and DPL(Diagnostic Peritoneal Lavage). The abdominal paracentesis showed positive 36 cases(63%) among 48 cases. Abdominal paracentesis was one of the valuable diagnostic method in abdominal trauma The Abdominal CT was the best diagnostic method in solitary organ injury, but the diagnostic rate was very low(25%) in small bowel injury. 7) The injured intraabdominal organs were small bowel(41%), liver(30%), spleen(20%), and kidney (17%). 8) The commonly associated extraabdominal injury were chest trauma(30%), upper and lower extremity injuries (20%). head trauma(15%). 9) The overall mortality rate was 5%, in abdominal trauma with multiple injury.

Key words: Abdominal trauma