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단일 기관에서의 자상 환자 관리 경험

Other Titles
 Single Center Experience of Stab Wound Management 
 김명준  ;  홍태화  ;  정명재  ;  이승환  ;  이재길 
 Journal of Acute Care Surgery, Vol.5(2) : 64-68, 2015 
Journal Title
 Journal of Acute Care Surgery 
Issue Date
Wounds and injuries ; Stab wound
Purpose: The aim of this study is to investigate the clinical characteristics and epidemiology of stab wound in a single center for 5 years. Methods: Eighty-seven patients visited the emergency room with stab wounds between March 2008 and October 2013. Patient demographics, location of the wound, injured internal organ, and clinical parameters were reviewed. Results: Among eighty seven patients, 59 were male, and the mean age was 45.6 years old (range, 18∼85 years old). The most common age group was fifth and sixth decades. The most common cause of stab injury was self-infliction (32 cases), followed by violence (31 cases) and accident (23 cases). Self-infliction injuries were associated with underlying psychological problems in 20 patients. The most common injured sites were abdomen (48 cases), followed by thorax (20 cases) and neck (12 cases). Emergent exploration was required in 37 patients. Four patients (4.6%) were dead due to hypovolemic shock after injury of the thorax (lung) or neck (transection of carotid artery and transection of trachea). The length of hospital stay was 3 days (0∼6.5 days) and the injury severity score (ISS) was 4 points (1∼9 points). ISS was associated with the length of hospital stay (p<0.001) and emergency exploration (p=0.001). Conclusion: Self-inflicted injury was the most common cause of stab injury and it was related to psychologic problems. The most common injured site was abdomen.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Seung Hwan(이승환) ORCID logo https://orcid.org/0000-0001-7325-8262
Lee, Jae Gil(이재길) ORCID logo https://orcid.org/0000-0002-1148-8035
Jung, Myung Jae(정명재)
Hong, Tae Hwa(홍태화)
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