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KERD
논문KCI 등재

총상에 의한 둔상성 비장 손상

Blunt Splenic Injury by Gunshot

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초록

Trauma is frequently not purely penetrating or purely blunt. Such mixed trauma can result from the mechanism of injury. Recently,we encountered a patient who accidentally shot himself with a shotgun. He had a 15 x 8-cm-sized penetrating injury on left flank that did not penetrate into the peritoneal cavity and a blunt splenic injury with hemoperitoneum. Surgical and interventional treatments were performed for each injury. We present this case with a review of the related literature.

Abstract

Trauma is frequently not purely penetrating or purely blunt. Such mixed trauma can result from the mechanism of injury. Recently,we encountered a patient who accidentally shot himself with a shotgun. He had a 15 x 8-cm-sized penetrating injury on left flank that did not penetrate into the peritoneal cavity and a blunt splenic injury with hemoperitoneum. Surgical and interventional treatments were performed for each injury. We present this case with a review of the related literature.

참고문헌 (9)

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  2. Alexandropoulou CA, "Wound ballistics: analysis of blunt and penetrating trauma mechanisms", Health Science Journal, 4, pp.225~236 (2010)
  3. Kennedy FR, "Splenic injury from gunshot wounds to the chest without diaphragmatic or peritoneal violation: case reports", J Trauma, 31, pp.1561~1562 (1991)
  4. Sharma OP, "Injuries to the colon from blast effect of penetrating extra-peritoneal thoraco-abdominal trauma", Injury, 35, pp.320~324 (2004)
  5. Baik JH, "A clinical study of abdominal trauma", J Kor Sur Soc, 29, pp.187~197 (1985)
  6. Lee HC, "A Clinical Study of Abdominal Trauma", J Kor Sur Soc, 32, pp.208~220 (1987)
  7. Feliciano DV, "Patterns of injury. In: Trauma", pp.83~88 (1991), Appleton & Lange
  8. 이재혁, "총상의 조직 손상 기전과 처치의 기본원칙", 대한의사협회지, 55(5), pp.463~472 (2012), 대한의사협회
  9. Berlin R, "Local effects of assault rifle bullet in live tissues", Acta Chir Scand Suppl, 459, pp.1~76 (1976)

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