Clinical Characteristics of Patients with Traumatic Diaphragm Injury and Comparison of Scoring Systems as Predictors / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 56-82, 2005.
Article
Dans Coréen
| WPRIM
| ID: wpr-100644
ABSTRACT
BACKGROUND:
Because of high morbidity and mortality, traumatic diaphragm injury remains a diagnostic challenge. In this study, we evaluate that some factors and scores can be used as predictors. MATERIAL ANDMETHOD:
From May 1995 to June 2003, 23 patients with traumatic diaphragm injury were enrolled. We examined the clinical features of patients. RTS, TRISS, ISS and APACHE II scores for each patient are calculated for analyzing the relationship of mortality and ICU duration.RESULT:
The study identified 15 men (65.2%) and 8 women (34.8%). There are right sided diaphragmatic injury in 11 patients (47.8%), left sided in 11 (47.8%), and both sided in 1 (0.4%). Plain X-ray, CT, upper GI contrast study and esophagogastroscopy were used as diagnostic tools. Age, hemodynamic status, early diagnosis are not associated with outcome. As prognostic factor, RTS and ISS are associated with mortality and there was negative relationship between RTS and ICU duration (r=0.737, p=0.026).CONCLUSION:
An early diagnosis of traumatic diaphragm injury can frequently be missed in the acute trauma setting. So high index of suspicion and a careful examination are important in multiple trauma patients. An RTS can probably be used effectively as a predictor for the severity and prognosis in patients with traumatic diaphragm injury.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pronostic
/
Muscle diaphragme
/
Polytraumatisme
/
Mortalité
/
Indice APACHE
/
Diagnostic précoce
/
Hémodynamique
Type d'étude:
Etude diagnostique
/
Étude pronostique
/
Étude de dépistage
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2005
Type:
Article
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