경부 관통상 환자에서 표재성 손상과 심부 손상을 구별할 수 있는 임상 예측 인자 = Clinical predicting factors that can distinguish superficial and deep injuries in penetrating neck injury?

다국어 초록 (Multilingual Abstract)

Objective: The frequency of penetrating neck injuries has gradually increased with the development of industry and the rising crime rates. There have been few studies with penetrating neck injuries reported in Korea. Thus, we analyzed clinical factors that could differentiate between superficial and deep injuries in patients with penetrating neck injuries.
Methods: We investigated the medical records of 90 patients with penetrating neck injuries who visited the emergency department between January 2010 and March 2020. To identify the degree of injuries, we compared age, sex, onset and arrival time, onset-to-arrival time, initial vital signs, Glasgow Coma Scale, Revised Trauma Score, cause, mechanism, location and number of injuries, anatomical zone, alcohol intake and psychiatric history were classified as early clinical factors.
Results: Among 90 patients, 51 had superficial injuries, and 39 had deep injuries. The early clinical factors showing statistically significant differences were the Glasgow Coma Scale, Revised Trauma Score, cause of injury and anatomical zones. As the Glasgow Coma Scale increased by 1 point, deep injuries decreased by 0.807 times compared to superficial injuries. Homicidal injuries were 3.233 times deeper than suicidal injuries.
Conclusion: If the Glasgow Coma Scale is low or the cause of injury is homicide, the possibility of a deep penetrating injury is high. Therefore, it is important to treat the patient carefully, considering these factors.

참고문헌 (Reference)

1 노하니 ; 김광민 ; 박준범 ; 류훈 ; 배금석 ; 강성준, "복부와 경부 관통상 환자에 대한 임상적 고찰" 대한외상학회 23 (23): 107-112, 2010

2 Isaza-Restrepo A, "Value of clinical examination in the assessment of penetrating neck injuries : a retrospective study of diagnostic accuracy test" 20 : 17-, 2020

3 Prichayudh S, "Selective management of penetrating neck injuries using"no zone"approach" 46 : 1720-1725, 2015

4 Johannesdottir U, "Penetrating stab injuries in Iceland : a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries" 27 : 7-, 2019

5 Kasbekar AV, "Penetrating neck trauma and the need for surgical exploration : six-year experience within a regional trauma centre" 131 : 8-12, 2017

6 Mahmoodie M, "Penetrating neck trauma : review of 192 cases" 1 : 14-18, 2012

7 Thompson EC, "Penetrating neck trauma : an overview of management" 60 : 918-923, 2002

8 Hundersmarck D, "Penetrating neck injury in two Dutch level 1 trauma centres : the non-existent problem" 58 : 455-462, 2019

9 Moeng S, "Penetrating neck injuries" 91 : 34-40, 2002

10 Chang MC, "National trauma data bank : annual report 2016" American College of Surgeons 2016

11 Saito N, "Imaging of penetrating injuries of the head and neck : current practice at a level I trauma center in the United States" 63 : 23-33, 2014

12 Junepill Seok ; Hyun Min Cho, "Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury" 대한외상학회 31 (31): 1-5, 2018