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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 7 - 11 (5page)
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Purpose: Adrenal gland injuries in trauma are rare and usually misdiagnosed or undere-stimated in an emergency setting because they are asymptomatic and associated with severe abdominal injuries. This paper reviews the clinical characteristics of adrenal injuries.Methods: A retrospective analysis of trauma patients who visited the authors’ emergency center was performed from March, 2010 to December, 2017. The patient demographic data, injury mechanism & associated injuries, injury severity score, hospital stay, and mortality were retrieved and analyzed. Results: Adrenal gland injuries were found in 52 patients: 73.1% (n=38) were males and the mean age was 43.6 years. Of the patients, 84.6% (n=44) had ISS ≥15. Right adrenal gland injuries occurred in 82.7% (n=43). The mechanism of injury was falls in 30.8% (n=16), motor vehicle accidents in 25.0% (n=13), and pedestrian accidents in 23.1% (n=12). Associated injures were liver injury (58.5%), rib fracture (52.8%), kidney injury (24.5%), pelvic bone fracture (20.8%), spine fracture (28.3%), and spleen injury (13.2%). The mean hospital stay was 34.2 days, and the intensive care unit stay was 9 days. The mortality rate was 3.8% (n=2).Conclusion: Adrenal gland injuries are common in males and frequent in the right side. Falls are the leading cause of injury. Most injuries have an associated injury at the abdominal or thoracic region. Adrenal injury is accompanied by high injury severity but showed a good prognosis.
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참고문헌 (18)
참고문헌 신청
Iuchtman M / 2000 / Traumatic adrenal hemorrhage in children: an indicator of visceral injury / Pediatr Surg Int 16:586~588
Pinto A / 2003 / Adrenal injuries: spectrum of CT findings / Emerg Radiol 10:30~33
Canton E / 1863 / Apoplexy of the suprarenal capsule / Trans Pathol Soc Lond 14:257
Panda A / 2015 / Are traumatic bilateral adrenal injuries associated with higher morbidity and mortality?-a prospective observational study / J Trauma Manag Outcomes 9:6
Chen KT / 2007 / Traumatic adrenal haematoma: a condition rarely recognised in the emergency department / Injury 38:584~587
Pinto A / 2003 / Adrenal injuries: spectrum of CT findings / Emerg Radiol 10:30~33
Canton E / 1863 / Apoplexy of the suprarenal capsule / Trans Pathol Soc Lond 14:257
Panda A / 2015 / Are traumatic bilateral adrenal injuries associated with higher morbidity and mortality?-a prospective observational study / J Trauma Manag Outcomes 9:6
Chen KT / 2007 / Traumatic adrenal haematoma: a condition rarely recognised in the emergency department / Injury 38:584~587
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