• 제목/요약/키워드: injuries

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복부 손상을 동반한 흉부손상 환자의 외과적 치료 (Surgical Treatment of Thoracic Injuries Combined with Abdominal Injuries)

  • 정성운;김병준;이성광
    • Journal of Chest Surgery
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    • 제28권9호
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    • pp.842-846
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    • 1995
  • Recently, the trauma patients have been markedly increasing due to the vast increase of traffic accident, industrial disaster, incidental accident and violence. The authors have analysed of 22 patients of thoracic injuries combined with abdominal injuries and summarized as follows. The ratio of male to female was 3.4:1 and their age distribution was from 5 years to 68 years and mean age was 34.4 years. The etiologies of injury were traffic accident, stab wound, fall down and violence. Associated injuries were fractures, bowel perforation, kidney rupture, head injury, liver laceration, spleen rupture and so forth. The modes of treatment were closed thoracostomy, repair of diaphragm, ruptured bowel repair, explo-thoracotomy, splenectomy, hepatic lobectomy in this order of frequency. The postoperative complications were atelectasis, wound infection, pneumonia, empyema, acute renal failure, respiratory failure and bleeding. The mortality rate was 13.6% [3/22 and the causes of death were respiratory failure 1 case, acute renal failure 1 case and hypovolemic shock 1 case.

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American Football Injuries In Korea

  • Roh Kwon Jae;Kim Dong Wook
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 1995년도 학술대회
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    • pp.20-20
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    • 1995
  • American football is currently played in 29 Universities in Korea, It is a contact sport where injuries are inevitable. This study was undertaken to determine the incidence and the anatomical distribution of injury based on evaluation of Yonsei University American football team. A total 74 injuries was reported among 77 players Knee, ankle and hand were vulnerable to injury. Operations were performed on $9(12.2\%)$ of the injuries. Catastrophic injuries can occur in this sport, but none has happened in Yonsei University team during the 20 years for which the sports has been practised. The frequency of injuries and their profile resemble those in US-based studies so it is suggested that the precautions and preventive measures recommended in the USA should be applied and followed in Korea.

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하퇴부 손상 및 통증 (Lower leg injuries and pain)

  • 이동철
    • 대한정형외과스포츠의학회지
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    • 제3권2호
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    • pp.111-117
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    • 2004
  • 스포츠 활동 중 하퇴부 손상 및 동통은 과도한 훈련활동 및 강도 증가, 잘못된 훈련 방법, 훈련 환경의 적용 잘못으로 발생하는 경우가 많으며 주로 달리기, 축구, 롤러브레이드 등 하지를 많이 사용하는 종목에서 발생된다. 급성 손상으로는 급성 구획 증후군, 근육 손상 및 좌상, 근 경련 등이 있으며 만성 손상으로는 만성 활동성 구획 증후군, shin splints, 피로골절, 아킬레스 건염 등이 발생된다. 이러한 손상이 발생되는 원인과 치료 방법에 대해 알아보고 적절한 훈련 방법, 보조구 장착을 하여 하퇴부 손상을 예방할 수 있는 방법이 중요할 것으로 생각된다.

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Delayed bladder perforation due to screw loosening after pelvic ring injury surgery: a case report

  • Shon, Hyun-Chul;Kang, Ho-Won;Lim, Eic-Ju;Yang, Jae-Young
    • Journal of Trauma and Injury
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    • 제35권1호
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    • pp.51-55
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    • 2022
  • Pelvic ring injuries have high mortality and morbidity rates, and they are difficult to treat because accompanying injuries to the pelvic organs, genitourinary organs, and neurovascular tissues are common. Genitourinary injuries are common comorbid injuries that have been reported to occur in 5% to 6% of all pelvic ring injuries. However, these injuries usually occur simultaneously with the pelvic ring injury, whereas relatively little research has dealt with genitourinary injuries that occur after treatment of a pelvic ring injury. To the best of our knowledge, only three cases of delayed bladder perforation due to screw loosening after symphyseal plate fixation in anterior pelvic ring injury have been reported worldwide, and no such cases have yet been reported in Korea. Since the authors experienced this very rare complication after pelvic ring surgery, we report this case along with a literature review.

어린이 보행기 사용과 사고 실태조사 (Injury Associated with Baby Walker)

  • 한정석;신현숙
    • 대한간호학회지
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    • 제29권2호
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    • pp.361-370
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    • 1999
  • Baby walkers have been a major cause of injuries in young children. The main purpose of this study is to identify the pattern of injuries associated with baby walker. The data ore collected from May 13 to June 15, 1998 from 438 mothers who have used or are using baby walkers for their children aged average 6 month old(range 1-33 month). It was founded that 19.2%(84 infants) of these children had walker-related accidents. The types of injuries included ‘falling down’(52.4%), ‘tiping over’(21.4%), ‘being crashed into the wall’(17.9%), and burns(1.2%). These injuries predominantly involved the head and neck region(88%). The majority of injuries were minor, and most injuries occured at home with the mother present. The most common reason to use the baby walker was to keep the infant happy and occupied. Although many parents used walker to promote walking, there was no supportive evidence that walkers helped babies learn to walk sooner. In conclusion, injuries among infants who use walkers are minor, but common. Also, baby walkers may cause a fatal min to some infants. Therefore, child safety warning label policies, anticipatory safety guidance and quality control of infant walkers are needed to prevent injuries associated with a infant walker.

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흉부외상 환자중 개흉술이 필요했던 53례에 관한 임상적 고찰 (Clinical Study of 53 Patients Requiring open Thoracotomy After Thoracic Injuries)

  • 김규만
    • Journal of Chest Surgery
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    • 제24권11호
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    • pp.1115-1124
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    • 1991
  • Recently the thoracic injuries have been markedly increasing due to the vast increase of traffic accident, industrial disaster, and incidental accident as well as the frequent use of the murderous weapons including gun or rifle. Because the thoracic injuries could involve the heart, lung, and great vessels, and would influence the lives, prompt diagnosis and adequate treatment are essential. Most of thoracic injuries can be managed with the conservative treatment and simple surgical procedure such as closed thoracostomy, but certain cases require open thoracotomy to preserve lives and to return to their normal environment. The authors have analysed the result of 53 cases of open thoracotomy after thoracic injuries mainly according to the patient`s chart review. The mean age was 33.4 years old and male to female ratio was about 5: l. Injury mechanisms that elicited thoracic trauma indicated for open thoracotomy were penetrating[47%] and non-penetrating[53%] injuries. The Most common type of the thoracic lesion was hemothorax with or without pneumothorax and diaphragm rupture was the second. 58\ulcornero of thoracic injuries were accompanied by abdominal injuries and 47% by bone fractures. 34 patients were operated within 24 hours after injury and their average elapsed time was 13.6 hour. The remained patients were operated after 24 hours and their average elapsed time was 7.8 days. 71 cases of operative procedures containing some overlappings were performed: diaphragm repair[28], bleeding control[12], pulmonary and cardiac repair[4 cases] Postoperative complication rate was 32.1% and operative mortality rate was 9.4%[5/53].

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일부 치과위생사의 치과 주사바늘 상해 실태 (Needlestick injuries in the dental hygienists)

  • 전정미;임순연;조영식
    • 한국치위생학회지
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    • 제15권5호
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    • pp.751-757
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    • 2015
  • Objectives: The purpose of the study is to investigate the needlestick injuries in the dental hygienists. Methods: A self-reported questionnaire was completed by 253 dental hygienists by convenience sampling from December 1, 2014 to March 20, 2015. The questionnaire consisted of 11 questions of sociodemographic characteristics, 5 questions of needlestick injuries experience, 3 questions of needlestick injuries during treatment and 2 questions of needlestick handling method. Data were analyzed by chi-square test, t-test and one way ANOVA analysis using SPSS 18.0 statistical program. Results: Those who had needlestick injuries within a year were 150 persons (59.3%) and the mean was 1.28 times per year. The needlestick injuries were frequent in the local anesthetic injection to gum. The completion and removal of the needle injection by hand accidently stung the digits and hand (p<0.01). Conclusions: Needlestick injuries can happen at any time to the dental hygienists in the dental clinics, so it is necessary to handle the needlestick carefully in case of anesthetic injection.

흉부외상의 임상적 고찰 (Clinical Evaluation of Chest Trauma - Analysis for 97 cases -)

  • 정원상
    • Journal of Chest Surgery
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    • 제21권2호
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    • pp.307-315
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    • 1988
  • A clinical analysis was performed on 97 cases of chest injuries experienced at Department of Thoracic and cardiovascular Surgery, Armed Forces Capital Hospital during 2 years period from 1986 to 1988. Of 97 patients of chest trauma, 39 cases were result from penetrating injuries whereas 58 cases were from non-penetrating injuries, and there were 77 cases of hemothorax and / or pneumothorax, 47 of rib fracture, 8 of foreign body, 6 scapular and clavicle fracture, 5 of diaphragmatic injuries, 4 of paraplegia. The majority of chest injuries were encounted in the age group between 21 and 30 years-old, mean age was 25.9 years-old and all cases were male except one. Gun-shot wound was the most common cause in the penetrating injuries and the majority of non-penetrating chest injury patients were traffic accident and fist or kick accounted for next. The principles of therapy for chest trauma were rapid expansion of the lung by closed thoracostomy[45 cases] and thoracentesis only[3 cases] but thoracotomy done at 27 cases because of massive bleeding or intrapleural hematoma, foreign body, cardiac injury, diaphragmatic injury and bronchial rupture. The over-all mortality was 2.07 percent[2 cases among all], a case was from penetrating injuries and another was from non-penetrating injuries.

간호인력의 업무상손상과 질병 (Occupational Injuries and Illness of Nursing Staff)

  • 김은아
    • 한국직업건강간호학회지
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    • 제22권4호
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    • pp.275-284
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    • 2013
  • Purpose: This study analyzed the characteristics of occupational injuries and illnesses of the nursing staff to reveal the prevalence of the major diseases and the predominant causes of the injuries in the nursing environment. Methods: Total 3,455 work-related compensation cases of nursing staff from January 1 2000 to December 31 2012, were selected. The specific types of the diseases, injuries, causes and the time of the incidence were analyzed. Results: Majority of the compensated cases were young women under 30 years old. The composition of the occupational injuries and illness was 74.5% and 25.5%, respectively. Occupational infection was the major part of the occupational illnesses (47.3%), and 74% of them were tuberculosis. Musculoskeletal disorder (12.6%) was followed the infectious disease, and 36.4% of them occurred while moving the patients. Slipping was the most frequent injury; most of them resulted in the lower extremities injury. Most of the injuries increased during shift change, except workplace violence, which increased later than 19:00. Conclusion: Occupational injuries and illnesses of nursing staff need the specific prevention strategy, and the prevention strategy should be suitable for the nursing workplace.

수원지역 초등학교 학생의 구강악안면 외상에 관한 실태 조사 (Incidence of Oral and Maxillofacial Injuries of a Elementary School Children in Suwon City)

  • 정영찬;오상천;이상권;동진근
    • 구강회복응용과학지
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    • 제16권3호
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    • pp.229-236
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    • 2000
  • The purpose of this study was to analyze the prevalence of Oral and maxillofacial injuries of elementary school children in Suwon, Korea. The sample consisted of 850 boys and girls in a elementary school children in the city. This study conducted a survey by sending questionnaires to school-aged boys and girls, to study a condition of traumatic injuries of teeth. 1. The students who had a traumatic injuries in a oral & maxillofacial area are 125 persons(14.7%); boys 93 persons(21%), girls 32 persons (7.9%). 2. Incidence of traumatic injuries was 1 time 102 persons(81.6%), 2 times 14 persons(11.2%), others 9 persons(7.2%). 3. The causes of traumatic injuries were fall down 65.6%, blow 10.4%, sports 9.6%, traffic accidents 7.2%, tripping 3.2%, others 4%. 4. The distributions of sports related traumatic injuries were roller blade 7 persons, bicycle 2 persons, football 1 person, baseball 1 person, basketball 1 person. 5. Types of traumatic injuries were soft tissue injury(40.8%), tooth fracture(36.8%), extrusion(8.0%), jaw fracture(3.2%), others(11.2%).

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