Single Center Experience of Stab Wound Management

Autor: Myoung Jun Kim, Tae Hwa Hong, Myung Jae Jung, Seung Hwan Lee, Jae Gil Lee
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Journal of Acute Care Surgery, Vol 5, Iss 2, Pp 64-68 (2015)
Druh dokumentu: article
ISSN: 2288-5862
2288-9582
DOI: 10.17479/jacs.2015.5.2.64
Popis: 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
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