외상성 간손상 환자의 치료 방법에 따른 예후 인자 = Treatment in Traumatic liver injury

다국어 초록 (Multilingual Abstract)

Background : The liver is frequently injured organ in abdominal trauma because of its size and location. Recently, nonoperative management was extended worldwidely by many clinicians bacause the CT imaging, intensive care unit, its equipment and its technique was developed. Now, we analysed patient in traumatic liver injury to evaluate its treatment and prognostic factor.
Method : From 2001, January to 2003, July, 65 patients was confirmed to traumatic liver injury. The treatment was decided by systolic blood pressure if peritineal irritation sign wan not existed. If systolic blood pressure was stable initially or was progressed to stablility when hydration and transfusion was done for unstable patient initially, the nonoperative management was started. Another patient was operated. The data was analysed by SPSS program.(Chi-square test and logistic regression analysis)
Result : The 48 patients was treated by nonoperative management. Mortality was 3 patients in nonoperative management group. Mortality rate was 15.8% in all patient but 6.4% in nonoperative management group and 67% in operative management group. The systolic blood pressure was reliable in multivariated analysis for mortality in traumatic liver injury. The mentality and ISS (injury severity score) was reliable in multivariated analysis in for complication in nonoperative management group. The mentality was reliable stastically for mortality in operative management group except for systolic blood pressure.
Conclusion : The systolic blood pressure was most reliable indicator when treatment plan was considered in traumatic liver injury. The more extensive study will be needed in nonoperative and operative management group respectively.

목차 (Table of Contents)

• 목차
• I. 서론 = 4
• II. 대상 및 방법 = 5
• III. 결과 = 6
• 1. 대상 환자의 특성 = 6
• 2. 대상 환자의 임상 소견 및 검사 결과 = 6
• 3. 대상 환자의 치료 방침의 결정 = 7
• 4. 대상 환자들의 자료 분석 = 7
• 5. 비수술적 치료를 시행한 환자들의 자료 분석 = 8
• 6. 수술적 치료를 시행한 환자들의 자료 분석 = 8
• III. 고찰 = 10
• IV. 결론 = 15
• V. 참고 문헌 = 16
• VI. 영문 초록 = 18