다발성 외상환자에서 폐좌상과 심근좌상의 상관관계

• Published in: Daehan oe'sang haghoeji Vol. 24; no. 1; pp. 31 - 36
• Main Authors: 류지호, Ji Ho Ryu, 염석란, Seok Ran Yeom, 정진우, Jin Woo Jeong, 민문기, Mun Ki Min, 박맹렬, Maeng Real Park, 김용인, Yong In Kim, 한상균, Sang Kyun Han, 박성욱, Sung Wook Park
• Format: Journal Article
• Language: English; Korean
• Published: 대한외상학회 30-06-2011
• Subjects: Cardiac contusion; Injury severity score; Multiple injuries; Pulmonary contusion; Troponin I; 의학일반; Multiple injuries; Injury severity score; Troponin I; Pulmonary contusion; Cardiac contusion
• ISSN: 1738-8767; 2799-4317; 2287-1683

Purpose: This study was conducted to evaluate the correlations among pulmonary contusion severity, trauma score and cardiac troponin I (cTnI) level. Methods: We prospectively evaluated patients with multiple injuries who had been admitted to the emergency department (ED) from July 2007 to July 2008. We first measured the total creatinine kinase (CK), the MB fraction of CK (CK-MB), TnI, and myoglobin within 2 hours after the injury. We then checked the electrocardiogram, x-ray, and computed tomography (CT) results. Finally, we assessed the injuries as variables and then compared the results for patients with elevated TnI levels (group A) and patients whose TnI levels fell within the normal range (group B). Results: Eighty-six of the 92 patients admitted to the ED were enrolled. The pulmonary contusion score (PCS) was well correlated with PaO2/FiO2. TnI levels were correlated with PCS. When TnI levels were above 0.86 ng/ml, the mortality was estimated with 100% sensitivity and 86.1% specificity. Conclusion: Pulmonary contusion severity is correlated with TnI level. When the PCS is high and the cTnI level is elevated in multiple-injury patients, we recommend continuous cardiac monitoring and further evaluation. (J Korean Soc Traumatol 2011;24:31-36)