Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Correlation Between Pulmonary Contusion and Myocardial Contusion in Patients with Multiple Injuries

다발성 외상환자에서 폐좌상과 심근좌상의 상관관계

  • Ryu, Ji-Ho (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Yeom, Seok-Ran (Department of Emergency Medicine, Pusan National University Hospital) ;
  • Jeong, Jin-Woo (Department of Emergency Medicine, Dong-A University Hospital) ;
  • Min, Mun-Ki (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Park, Maeng-Real (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Yong-In (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Han, Sang-Kyun (Department of Emergency Medicine, Pusan National University Hospital) ;
  • Park, Sung-Wook (Department of Emergency Medicine, Pusan National University Hospital)
  • 류지호 (양산부산대학교병원 응급의학과) ;
  • 염석란 (부산대학교병원 응급의학과) ;
  • 정진우 (동아대학교병원 응급의학과) ;
  • 민문기 (양산부산대학교병원 응급의학과) ;
  • 박맹렬 (양산부산대학교병원 응급의학과) ;
  • 김용인 (양산부산대학교병원 응급의학과) ;
  • 한상균 (부산대학교병원 응급의학과) ;
  • 박성욱 (부산대학교병원 응급의학과)
  • Received : 2010.10.07
  • Accepted : 2011.05.30
  • Published : 2011.06.30
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Abstract

Purpose: This study was conducted to evaluate the correlations among pulmonary contusion severity, trauma score and cardiac troponin I (cTnI) level. Methods: We prospectively evaluated patients with multiple injuries who had been admitted to the emergency department (ED) from July 2007 to July 2008. We first measured the total creatinine kinase (CK), the MB fraction of CK (CK-MB), TnI, and myoglobin within 2 hours after the injury. We then checked the electrocardiogram, x-ray, and computed tomography (CT) results. Finally, we assessed the injuries as variables and then compared the results for patients with elevated TnI levels (group A) and patients whose TnI levels fell within the normal range (group B). Results: Eighty-six of the 92 patients admitted to the ED were enrolled. The pulmonary contusion score (PCS) was well correlated with $PaO_2/FiO_2$. TnI levels were correlated with PCS. When TnI levels were above 0.86 ng/ml, the mortality was estimated with 100% sensitivity and 86.1% specificity. Conclusion: Pulmonary contusion severity is correlated with TnI level. When the PCS is high and the cTnI level is elevated in multiple-injury patients, we recommend continuous cardiac monitoring and further evaluation

Keywords

References

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