Journal of Trauma and Injury

  • 제22권1호
  • /
  • Pages.1-4
  • /
  • 2009
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지

흉부 외상 환자에서 늑막 천자를 위해 바늘 도관의 길이에 대한 연구

Study of the Length of Needle Thoracostomy Catheter Needed for Patients with Chest Trauma

  • 강성원 (경북대학교 의과대학 응급의학교실) ;
  • 류현욱 (경북대학교 의과대학 응급의학교실) ;
  • 박정배 (경북대학교 의과대학 응급의학교실) ;
  • 서강석 (경북대학교 의과대학 응급의학교실) ;
  • 정제명 (경북대학교 의과대학 응급의학교실)
  • Kang, Sung Won (Department of Emergency Medicine, College of Medicine, Kyungpook National University) ;
  • Ryoo, Hyun Wook (Department of Emergency Medicine, College of Medicine, Kyungpook National University) ;
  • Park, Jung Bae (Department of Emergency Medicine, College of Medicine, Kyungpook National University) ;
  • Seo, Kang Suk (Department of Emergency Medicine, College of Medicine, Kyungpook National University) ;
  • Chung, Jae Myung (Department of Emergency Medicine, College of Medicine, Kyungpook National University)
  • 투고 : 2008.11.19
  • 심사 : 2009.06.07
  • 발행 : 2009.06.30
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초록

Purpose: This study was conducted to evaluate the length of the catheter used in a needle thoracostomy for emergency decompression of a tension pneumothorax by measuring the chest wall thickness (CWT) in patients with chest trauma Methods: A retrospective review of 201 patients with chest trauma who had been transported the emergency department in a tertiary university hospital in a metropolitan area between 1 January and 31 February 2007 was performed. The average CWT at the second intercostal space (ICS) in the midclavicular line (MCL) was measured by using a chest computed tomography scan. Results: As the left and the right mean CWTs were $3.4{\pm}1.0cm$ and $3.4{\pm}1.0cm$, respectively, there was no significant statistical difference between them. The mean CWT of female patients was significantly higher than that of male patients (p=0.001). The mean CWT of patients under the age of 65 years was significantly thicker than that of the patients over the age of 65 years (p<0.001). Of the studied patients, 12 (6.0%) a CWT > 5 cm. Conclusion: A 5 cm-length catheter in a needle thoracostomy may be insufficient for emergency decompression of a tension pneumothorax, so a catheter longer than 5 cm in length is needed.

키워드

참고문헌

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