심근효소 상승 유무에 따른 목맴 환자들의 임상적 특성
분야
의약학 > 외과학
저자
신현구 ( Hyun Goo Shin ) , 박준범 ( Jun Bum Park ) , 김창선 ( Chang Sun Kim ) , 오재훈 ( Jae Hoon Oh ) , 조영석 ( Young Suk Cho ) , 박세훈 ( Sae Hoon Park ) , 제상모 ( Sang Mo Je ) , 최혁중 ( Hyuk Joong Choi ) , 강보승 ( Bo Seung Kang ) , 임태호 ( Tae Ho Lim ) , 강형구 ( Hyung Goo Kang )
발행기관
대한외상학회
간행물정보
대한외상학회지 2012년, 제25권 제4호, 196~202페이지(총7페이지)
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19400648.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: This study aimed to recognize the frequency of near-hanging patients with elevated Troponin-I (Tn-I), to obtain information necessary for treatment and prediction of prognosis by analyzing the clinical feature of near-hanging patients, and to evaluate the relevance of elevated Tn-I to abnormal result of other cardiacrelated examinations. Methods: A retrospective review for the near-hanging patients, clinical record was conducted at two urban training hospitals between April, 2001 and December, 2011. We divided included patients into two groups, which one with elevated Tn-I level (Tn-I≥0.1ng/dL) and one without it, and compared the differences in initial vital signs, cardiac enzyme tests, an electrocardiogram, echocardiography, chest X-ray, and the clinical outcomes. Results: A total of 39 patients were included, out of them, 14 patients showed rise in Tn-I level. The length of hospital stay and ICU hospitalization was more prolonged in the patient group with elevated Tn-I level than non-elevated group. As well as the incidence of endotracheal intubation and abnormal findings in echocardiography or chest X-ray was higher in the Tn-I elevated group, which is statistically significant. Conclusion: The rising of serum Tn-I level in near-hanging patients were not uncommonly observed. We believe that the cardiac-related test including Tn-I is necessary for near-hanging patients, and those who are shown abnormal result in cardiac-related test may need close observation and intensive care. (J Trauma Inj 2012;25:196-202)
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