Colo-rectal injuries.

The records of the patients with colo-rectal injuries treated in the Division of Traumatology, Department of Surgery, Faculty of Medicine Siriraj Hospital between Jan 1983-Dec 1987 were reviewed. There were 28 males and 7 females. The age of the patients were from 7 to 54 years old. The major cause of injury was penetrating would (13 gun shot would and 12 stab would). The indications for operation were the same as for exploratory laparotory in the abdominal injury. There were 25 colonic injuries and 10 rectal injuries. The most common site of injury was transverse colonic injuries were treated by primary repair. All the patients with rectal injuries had diverting colostomy. There were eight patients with complications. There was no mortality in this study.

Epidemiological aspect of trauma patients admitted to Siriraj Hospital, 1988.

There were 33,256 new patients being treated for various injuries in the Devision of Traumatology, Department of Surgery, Siriraj Hospital in 1988. The males to females ratio was 2:1. The ages ranged from seven days to ninety-nine years, with the most frequent range encountered between 21-30 years (30.30%). The most common injuries was household accident (45.36%) followed by traffic accident (29.82%). The patients with traffic accidents and more severe injury than the household ones. Over one-half of the traffic injuries (63.03%) were from motorcycle. Among patients with severe injuries, 131 died on arrival at the emergency room, 1,512 were admitted for further treatment while 325 being transferred to other hospitals due to limited number of beds. Those with traffic accidents occupied almost one-half of the admission beds.