• 제목/요약/키워드: Traffic injuries

검색결과 302건 처리시간 0.028초

경골과 골절의 치료 (Treatment of Tibial Condyle Fracture)

  • 이동철;손욱진;박성혁
    • Journal of Yeungnam Medical Science
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    • 제20권2호
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    • pp.177-186
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    • 2003
  • 교통사고의 증가로 심한 경골 고평부 골절이 점진적으로 증가되는 양상이며, 경골 고평부 골절 후 동반손상의 적절한 치료, 해부학적 정복 및 견고한 고정, 조기 관절운동이 좋은 예후를 보이며 외상성 관절염을 줄일 수 있을 것으로 사료된다.

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국민건강영양조사 결과에 의한 한국인의 사고 유형 및 발생빈도 (Incidence and Types of Unintentional Injuries among Koreans Based on the 2001 National Health and Nutrition Survey)

  • 함옥경;이은주
    • 한국보건간호학회지
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    • 제21권1호
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    • pp.95-101
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    • 2007
  • Purpose: The purpose of this study was to determine the incidence of unintentional-injury and to identify factors related to the high incidence of unintentional-injury in the community in order to provide useful data for the development of prevention and intervention programs aimed at reducing unintentional-injury incidence. Methods: This study utilized data obtained from cross-sectional national surveys conducted for the 2001 National Health and Nutrition Survey targeting 37,769 individuals aged between 0 and 99 years old, which was performed using a face-to-face interview method. Demographic characteristics, unintentional-injury experience, types of injury, and attributes of health behavior were included in the study instruments. Results: About 1.3% of the subjects had experienced unintentional injury that required hospitalization at least once during the past year. Age older than 40 years, male gender, lower education, lower income, and blue collar workers were all significantly and positively associated with increased risk of unintentional-injury. Among the health behavior variables, sleeping less than 6 hours, drunk driving, and binge drinking were significantly associated with unintentional injury, while traffic accidents and falls/slips constituted 80% of all unintentional injuries. Conclusion: Public health efforts to reduce unintentional injuries should target high-risk populations such as males, those with low income and education levels, and binge drinkers.

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흉부 둔상에 의해 발생한 내흉동맥 손상의 카테터경유 혈관색전술 치료 경험 (Internal Mammary Artery Injury Caused by Blunt Chest Trauma Treated with Transcatheter Arterial Embolization)

  • 최석진;정태오;이재백;윤재철
    • Journal of Trauma and Injury
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    • 제25권4호
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    • pp.296-299
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    • 2012
  • The aorta is the most common major thoracic artery injured by blunt chest trauma. Injuries to major aortic arch branch arteries can also occur but are much less common than aortic injuries in the setting of blunt trauma. Although internal mammary artery (IMA) injury is uncommon and rarely diagnosed in cases of blunt chest trauma, it is one of the important sources of bleeding in chest trauma. IMA bleeding can cause ongoing blood loss and may lead to serious conditions such as extensive hemothorax, anterior mediastinal hematoma or its catastrophic complication, cardiac tamponade. However such arotic and branch artery injuries are not easily detected by plain radiograph, and are detected indirectly because of associated mediastinal hematoma. Herein, we report a case of IMA injury caused by blunt chest trauma secondary to pedestrian traffic accident. The injured patient was successfully treated by transcatheter arterial embolization (TAE).

Ebstein 심기형의 외과적 치료 -1례 보고- (Surgical Corretion of Ebstein's Anomaly -Report of One Case-)

  • 권은수
    • Journal of Chest Surgery
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    • 제27권12호
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    • pp.1027-1030
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    • 1994
  • We reviewed 10 cases of traumatic diaphragmatic injuries at Soonchunhyang University Gumi Hospital from January 1990 through April 1993. Seven patients were male and three patients were female. The age distribution was ranged from 25 to 79 years, predominant 4th decades occurred in male. The traumatic diaphragmatic injuries were due to blunt trauma in 9 cases[traffic accident 7 and crash injury 2] and penetrating wound in 1 case[stab wound]. The common symptoms were dyspnea[60%], chest pain and abdominal pain in order frequency. In the blunt trauma and crash injury, the rupture site was all located in the left[ 9 cases ]. In the penetrating wound, the rupture site was located in the right[1 case]. The surgical repair of 10 cases were performed with transthoracic approach in 9 cases and thoracoabdominal approach in 1 case. The postoperative mortality was 10%[1/10]. The cause of death was multiple organ failure with pulmonary edema.

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악안면 골절에 관한 임상적 고찰 (Clinical Study of facial bone fracture)

  • 이주환;노홍섭
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제14권1_2호
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    • pp.89-96
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    • 1992
  • The purpose of this study was to investigate the fractures of facial skeleton ; mandible, maxilla, zygoma Clinically, we observed 413 patients with facial bone fractures treated at the department of dentistry, Koryo General Hospital from Jan. l989 to Dec. I991. This results ere as follows : 1. The most common fracture was occured in the mandible (63.7%) and the symphysis was occured most freguently(30.4%) 2. The most prevalent age was twenties(37.5%) 3. Main causes was traffic accident(21.7% ) 4. The ratio of male to female was about 9.3 : 1 5. Most combined injuries was head injuries. (54.6%) 6. The most frequent job was a company employee. 7. There were the highest frequency in March, and the lowest frequency in February.

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SIMULATION OF AUTOMOTIVE SEAT FOR REDUCING NECK INJURY IN LOW-SPEED REAR IMPACT

  • CRO H. C.
    • International Journal of Automotive Technology
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    • 제6권2호
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    • pp.161-169
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    • 2005
  • Neck injuries sustained during low speed rear impact are the most commonly sustained traffic injury. Therefore, the analysis of neck injury mechanisms and methods for mitigating and reducing neck injuries during low speed rear impact are a very important issue in the vehicle safety field. In order to find a method to absorb the shock that is transmitted to the occupant, the response of frontal and rear dummy due to the motion of the struck vehicle and the rotational angular displacements of dummies' necks during rear impact at 12km/h speed were investigated using a Working Model 2D. The results suggest that the shock absorption system should be equipped in the bottom of the seat of the vehicle to reduce shock and mitigate neck injury to the occupants.

심장손상에 대한 임상적 고찰 -8예 분석보고- (Clinical Analysis of Cardiac Injury - A Report of 8 Cases -)

  • 이필수
    • Journal of Chest Surgery
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    • 제22권5호
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    • pp.760-765
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    • 1989
  • Cardiac injury remains one of the most spectacular injuries which the present day cardiac surgeon is called upon to treat. Eight consecutive patients with penetrating or blunt injury to the heart underwent operation at the Department of Thoracic and Cardiovascular Surgery, Masan Koryo General Hospital from April 22 88 to April 6 89. l. Among the 8 cases of cardiac injured patients, 7 cases were penetrating injury [stab injury] and one case was blunt injury [traffic accident]. 2. The site of cardiac injury was LV mainly and the next RV, SVC-RA junction in order. 3. The all patients were admitted to our hospital via ER and most of cases, CVP was elevated above 15 cmH2O and 7 of 8 cases were shock state. 4. In 6 of 8 cases revealed cardiomegaly in simple chest X * ray. 5. 7 cases were operated through the median sternotomy, 1 case the right anterolateral thoracotomy. 6. Associated injuries in penetrating cardiac injury were hemothorax, pneumothorax, sternal fracture, lung laceration, LAD transaction in blunt injury, hemoperitoneum.

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Sternal Fracture Fixation with a Steel Wire: The New "Timala" Technique

  • Timala, Rabindra Bhakta;Panthee, Nirmal
    • Journal of Trauma and Injury
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    • 제34권3호
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    • pp.170-176
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    • 2021
  • Purpose: Traumatic sternal fractures are rare but quite disabling injuries. Timely fixation of sternal fractures reduces pain and prevents respiratory complications. However, the fixation technique should be simple, effective, and readily available in local circumstances. Methods: From January 2014 to March 2020, seven patients with sternal fracture/dislocation underwent steel wire fixation with the new "Timala" technique. In this technique, adjacent ribs are anchored with two steel wires to form an "X" in front of the fractured segment of the sternum. Patients were followed up clinically and radiologically. Results: Six of the patients were men and one was a female. Five of them had injuries due to falls and two were injured in road traffic accidents. Their age ranged from 18 years to 76 years, with a median age of 41 years. All seven patients experienced immediate recovery from pain and showed evidence of fracture healing on postoperative chest X-rays and clinical examinations. Conclusions: Anchoring ribs to fix the sternum with steel wire is a safe, effective, easily available, and reproducible method to fix sternal fractures or dislocations.

자동차 안전도평가제도의 정량적 효과분석 (Effectiveness Analysis of NCAP(New Car Assessment Program) on Traffic Safety)

  • 조한선;심재익;성낙문
    • 대한교통학회지
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    • 제26권2호
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    • pp.7-15
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    • 2008
  • 자동차 안전도평가제도는 제작사가 보다 안전한 자동차를 제작하도록 유도하기 위해 충돌시험 등을 통하여 자동차의 안전성을 평가하고, 그 결과를 소비자에게 공개하고 있다. 이것은 자동차 사고로 인한 사회적 손실을 감소시킬 수 있는 효과적인 자동차 안전정책 중의 하나로써, 우리나라는 1999년부터 건설교통부 주관으로 신차평가를 실시하고 있다. 현재 안전도평가 대상차종이 크게 증가하여 안전도평가 대상 차종의 확대가 필요한 시점임에도 불구하고, 현실은 그렇지 못한 실정인데, 그 이유로는 평가인력, 시설 및 비용 등 여러 가지가 있겠으나, 가장 근본적인 이유는 자동차 안전도평가제도의 효과를 정확하게 파악하지 못하기 때문인 것으로 판단된다. 이에 본 연구에서는 자동차 안전도평가제도를 통해 자동차제작사가 자동차의 안전도를 향상시킴으로써 교통사고 발생시 사고의 심각도를 얼마나 줄여줄 수 있는지를 정량적으로 분석함으로써 자동차 안전도평가제도의 효과를 측정해 보고자 하였다. 안전도평가 항목 중 이용가능한 자료가 있는 정면충돌만을 대상으로 정면충돌로인한 사상자 수를 추정하고 안전도가 향상된 차종의 판매대수를 이용하여 자동차 안전도평가제도의 효과를 측정할 수 있는 방법을 개발하였다. 2005년도 자료를 이용하여 정면충돌사고 시 사상자 감소분을 추정해 본 결과, 자동차 안전도평가제도를 시행함으로써 자동차 안전도가 향상되어 2005년 1년 동안 교통사고로 인한 사망자는 약 1.51명, 부상자는 약 446명 감소한 것으로 나타났다.

부자(附子)의 경구투여(經口投與)가 RAT의 척수손상(脊髓損傷)에 미치는 영향(影響) 및 비교(比較) (The Effects of Radix aconiti on the Contraction of Rat's Spinal Cord Injury)

  • 이건목;김경식;이강창
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.105-116
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    • 1998
  • Purpose In this study, We observed the recovery process in the ability to move in the hind limbs of the rats whose spinal cord injuries were treated by Radix acouniti(RA). The purpose of this study is to see the effects of Radix acouniti(RA) water extract on the contraction of rat's spinal cord injury. Procedure First, the rats were subjected to hemisectional spinal cord injuries by a scalpel blade. Those rats, then, were divided into three groups: Sham operated rats group and the experimental group, which received the Radix acouniti(RA) water extract, and the control group, which had no treatment. Their recovery in the ability to walk was observed by the Open Field Test (OFT) for 14 days after the injuries. Method The OFT was applied at four points: the hip, knee, ankle joint, and the tail. Each joint was given a movement rating of from 0 to 3, depending on the amount of movement. A movement rating of 0 designates no movement, a 1 designates slight movement, a 2 designates increased movement, and a 3 designates active movement. Slight movement is defined as a joint displaying less than or equal to 30% of that joint range, increased movement is displaying less than or equal to 60% of that joint's range, and active movement is greater than or equal to 90% of that joint's range. Tail movement is also graded on a scale of 0 to 3. A rating of 0 indicates that the tail is down 100% of the time, one of 1 indicates that the tail is down more than 10%, one of 2 shows that the tail is down less than 50% but more than 10% of the time, and one of 3 shows that the tail is down less than 10% of the time. All four ratings were added together and then averaged to arrive at a single score. Results The sham group which did not go through spinal cord injuries showed near normal results on all 3 joints and tail from right after the operation, which one would expect. The RA oral application group showed more effective recovery of movememt function than the control group around 4 days after the spinal cord injuries. However, after 14 days, both groups displayed almost the same degree of movement recovery. The results of this study are summarized as follows: 1. After 14days the spinal cord injuries, movement was recovered in sham operated group, control group, and experimented group in the hip, the knee, the tail and then the ankle of rats, in that order. 2. Around 7 days after the spinal cord injuries, the experimental group proved the effectiveness of the therapy in terms of movement recovery. 3. The level of ALT, ALP, AST in RA treated group was slightly increased. 4. The level of BUN and creatinine in RA treated group was slightly increased. The above results indicate that RA therapy at an early stage can bring about better movement recovery in patients with spinal cord injuries from traffic accidents or industrial disasters. But there is apparent side effect of RA on clinical, therefore the study on this should be continued.

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