지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.12
- 수록면
- 160 - 166 (7page)
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초록· 키워드
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Backgrounds/Aims: Traumatic pancreatic injury is rare and various surgical procedures can be applied according to the severity of injury. We reviewed our experience of pancreatic injury and investigated the clinical outcome. Methods: Fifty-six patients were treated conservatively or with surgery for pancreatic injury at the Department of Surgery, Korea University Medical Center of Korea University College of Medicine from January 2001 to February 2012. Results: Forty-one men and 15 women were included (mean age, 32 years; range, 5-66 years). Twelve patients were hypotensive at admission. According to the American Association for the Surgery of Trauma grade, 15 patients were grade Ⅰ, 16 were grade Ⅱ, 10 were grade Ⅲ, 13 were grade Ⅳ, and one patient was grade Ⅴ. A total of 41 patients underwent exploratory surgery. Complications developed in 35 patients, and 19 patients demonstrated intra-abdominal abscesses associated with pancreatic leakage. Four mortalities occurred. More adult patients (n=42) required intensive care than that of pediatric patients (n=14) (ρ=0.03). However, more pediatric patients had hyperamylasemia at admission (ρ=0.023). A significantly higher proportion of patients in the hypotensive group had blunt abdominal injuries, associated extra-abdominal injuries, combined intra-abdominal injuries, longer ICU stays, and a higher mortality rate. Conclusions: Associated intra-abdominal and extra-abdominal injuries are frequent in patients with traumatic pancreatic injury. Despite the complication rate, most patients recovered. Mortalities were associated with combined injuries being placed into bleeding, hypovolemic shock, and multiorgan failure. (Korean J Hepatobiliary Pancreat Surg 2012;16:160-166)
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (17)
참고문헌 신청
1. [학술지(정기간행물)] - Lin BC / 2004 / Management of blunt major pancreatic injury / J Trauma 56 : 774 ~ 778
2. [학술지(정기간행물)] - Vasquez JC / 2001 / Management of penetrating pancreatic trauma: an 11-year experience of a level-1 trauma center / Injury 32 : 753 ~ 759
3. [학술지(정기간행물)] - Velmahos GC / 2009 / Blunt pancreatoduodenal injury: a multicenter study of the Research Consortium of New England Centers for Trauma (ReCONECT) / Arch Surg 144 : 413 ~ 419
4. [학술지(정기간행물)] - Subramanian A / 2007 / The management of pancreatic trauma in the modern era / Surg Clin North Am 87 : 1515 ~ 1532
5. [학술지(정기간행물)] - Tyburski JG / 2001 / Infectious complications following duodenal and/or pancreatic trauma / Am Surg 67 : 227 ~ 230
2. [학술지(정기간행물)] - Vasquez JC / 2001 / Management of penetrating pancreatic trauma: an 11-year experience of a level-1 trauma center / Injury 32 : 753 ~ 759
3. [학술지(정기간행물)] - Velmahos GC / 2009 / Blunt pancreatoduodenal injury: a multicenter study of the Research Consortium of New England Centers for Trauma (ReCONECT) / Arch Surg 144 : 413 ~ 419
4. [학술지(정기간행물)] - Subramanian A / 2007 / The management of pancreatic trauma in the modern era / Surg Clin North Am 87 : 1515 ~ 1532
5. [학술지(정기간행물)] - Tyburski JG / 2001 / Infectious complications following duodenal and/or pancreatic trauma / Am Surg 67 : 227 ~ 230
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UCI(KEPA) : I410-ECN-0101-2014-514-000814577