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J Korean Soc Emerg Med > Volume 32(6); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(6): 525-530.
경부 관통상 환자에서 표재성 손상과 심부 손상을 구별할 수 있는 임상 예측 인자
정우한1 , 최경호1, 오영민1 , 최세민1 , 오주석1 , 박정택1 , 이두효1 , 김기욱1 , 홍성엽2 , 정현호1
1가톨릭대학교 의정부성모병원 응급의학과
2가톨릭대학교 대전성모병원 응급의학과
Clinical predicting factors that can distinguish superficial and deep injuries in penetrating neck injury?
Woo Han Jung1 , Kyoung Ho Choi1, Young Min Oh1 , Se Min Choi1 , Joo Suk Oh1 , Jung Taek Park1 , Doo Hyo Lee1 , Ki Wook Kim1 , Sungyoup Hong2 , Hyun Ho Jeong1
1Department of Emergency Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea
2Department of Emergency Medicine, Daejeon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea
Correspondence  Hyun Ho Jeong ,Tel: 031-820-5200, Fax: 82-31-820-3464, Email: neohoya11@naver.com,
Received: August 27, 2020; Revised: October 21, 2020   Accepted: November 16, 2020.  Published online: December 31, 2021.
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.
Method:
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.
Key words: Neck injuries; Glasgow Coma Scale; Homicide
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