๋ฉ”์ธ ์ฝ˜ํ…์ธ ๋กœ ๊ฑด๋„ˆ๋›ฐ๊ธฐ
์ฆ๋ก€ #16

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ์ด ์ผ€์ด์Šค ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ ๋กœ๊ทธ์ธ
์ธ๊ตฌ ํ†ต๊ณ„ํ•™: Female
์ง€์‹œ์‚ฌํ•ญ: ์™ธ์ƒ

์ฆ๋ก€ #16

๊ฒฐ๊ณผ

ํ‰๋ถ€

  • ๊ฒฝ๋„ ์ „์ข…๊ฒฉ๋™ ์ง€๋ฐฉ ํ˜ผํƒ
  • ๊ฒฝ๋„ ํ•˜์ˆ˜์„ฑ ๋ฌด๊ธฐํ
  • ์‚ฐ์žฌํ•œ ํ ๋ฏธ์„ธ๊ฒฐ์ ˆ
  • CABG ์ˆ˜์ˆ  ํ›„ ๋ณ€ํ™”
  • ์ค‘๋“ฑ๋„ ๊ด€์ƒ๋™๋งฅ ์„ํšŒํ™”
  • ๋™๋งฅ๋ฅ˜ ์—†์ด ํ‰๋ถ€ ๋Œ€๋™๋งฅ ๋™๋งฅ๊ฒฝํ™”
  • ๊ธฐํ‰ ์—†์Œ

๋ณต๋ถ€/๊ณจ๋ฐ˜

  • ์†Œ์ธ์ ‘ ํ˜ˆ์ข…์„ ๋™๋ฐ˜ํ•˜์ง€๋งŒ ํ™œ๋™์„ฑ ์ถœํ˜ˆ์˜ ์ฆ๊ฑฐ ์—†์ด ๊นŠ์ด 3.2 cm์˜ ์ขŒ๊ฐ„์—ฝ ์ „๋ฐฉ ๊ฐ„ ์—ด์ƒ
  • ์ขŒ๊ฐ„์—ฝ์˜ 2 cm ๋‘ฅ๊ทผ ์ €์Œ์˜ ๋ณ‘๋ณ€
  • ์ง€๋ฐฉ๊ฐ„์— ํ•ฉ๋‹นํ•œ ๊ฐ„ ์‹ค์งˆ์˜ ์ „๋ฐ˜์  ์Œ์˜ ๊ฐ์†Œ๋ฅผ ๋™๋ฐ˜ํ•œ ๊ฐ„๋น„๋Œ€
  • ์†Œ์ธ์ ‘ ํ˜ˆ์ข…์„ ๋™๋ฐ˜ํ•˜์ง€๋งŒ ํ™œ๋™์„ฑ ์ถœํ˜ˆ์˜ ์ฆ๊ฑฐ ์—†์ด 1 cm ๋ฏธ๋งŒ์˜ ๋น„์žฅ ์ „๋ฐฉ ์†Œ์—ด์ƒ
  • ๋‹ด๋‚ญ ์ ˆ์ œ์ˆ  ํ›„ ์ƒํƒœ
  • ์ธ์ ‘ ์ง€๋ฐฉ ํ˜ผํƒ์„ ๋™๋ฐ˜ํ•œ ์ทŒ์žฅ ๋ฏธ๋ถ€์˜ ๊ฒฝ๋„ ๋ถ€์ข…
  • ๊ฐ๊ฐ ์ตœ๋Œ€ 2.5 cm์˜ ์šฐ์ธก ๋ฐ ์ขŒ์ธก ๋ถ€์‹ ์˜ ์ค‘๊ฐ„ ์Œ์˜ ๋ณ‘๋ณ€
  • ์ขŒ์ธก ์‹ ์žฅ ๊ทน๊ฐ„ ์˜์—ญ์˜ ์ž‘์€ ๋น„ํ์ƒ‰์„ฑ ๊ฒฐ์„
  • ์šฐ์ธก ์‹ ์žฅ ์ƒ๊ทน์˜ 1 cm ๋ฏธ๋งŒ ์ €์Œ์˜ ๋ณ‘๋ณ€, ํŠน์„ฑํ™”ํ•˜๊ธฐ์— ๋„ˆ๋ฌด ์ž‘์Œ
  • ํ•ด๋ถ€ํ•™์  ๊ณจ๋ฐ˜์— ์ €๋ฅ˜๋œ ์†Œ๋Ÿ‰์˜ ํ˜ˆ๋ณต์ฆ

๊ทผ๊ณจ๊ฒฉ๊ณ„

  • ํ‰๊ณจ๋ณ‘ ์ขŒ์ธก์˜ ๊ธ‰์„ฑ ๋น„์ „์œ„ ๊ณจ์ ˆ
  • ์ขŒ์ธก ์™ธ์ธก ์ œ3, ์ œ4, ์ œ5 ๋Š‘๊ณจ์˜ ๊ธ‰์„ฑ ๋น„์ „์œ„ ๊ณจ์ ˆ
  • ์šฐ์ธก ๊ฒฝ๋ถ€, ์ƒ์ „ ํ‰๋ฒฝ ๋ฐ ์ƒ๋ณต๋ฒฝ์˜ ์—ฐ๋ถ€์กฐ์ง ์ขŒ์ƒ
  • L3-L4 ๋ฐ L4-L5์—์„œ ๊ฐ€์žฅ ํ˜„์ €ํ•œ ์ฒ™์ถ”์˜ ๋‹ค๋ถ„์ ˆ ํ‡ดํ–‰์„ฑ ๋ณ€ํ™”

์ง„๋‹จ

๊ฐ„ ์—ด์ƒ (3๋“ฑ๊ธ‰)

๋น„์žฅ ์—ด์ƒ (1๋“ฑ๊ธ‰)

๋ถ€์‹  ํ˜ˆ์ข…

์ทŒ์žฅ ์™ธ์ƒ

์ƒ˜ํ”Œ ๋ณด๊ณ ์„œ

ํ™œ๋™์„ฑ ์ถœํ˜ˆ์˜ ์ฆ๊ฑฐ ์—†์ด ์†Œ์ธ์ ‘ ํ˜ˆ์ข…์„ ๋™๋ฐ˜ํ•œ ๊นŠ์ด 3 cm ์ด์ƒ์˜ ์ขŒ๊ฐ„์—ฝ ์—ด์ƒ. ์ธ์ ‘ ์ €์Œ์˜ ๋ณ‘๋ณ€์€ ์ขŒ์ƒ ๋˜๋Š” ๋ถˆํ™•์ • ๊ฐ„ ๋ณ‘๋ณ€์„ ๋‚˜ํƒ€๋‚ผ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ์ด ์†Œ๊ฒฌ์€ ์•„๋ž˜ ๋…ผ์˜๋œ ์ถ”์  ์˜์ƒ์—์„œ ์žฌํ‰๊ฐ€ํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค.

ํ™œ๋™์„ฑ ์ถœํ˜ˆ์˜ ์ฆ๊ฑฐ ์—†์ด ์†Œ์ธ์ ‘ ํ˜ˆ์ข…์„ ๋™๋ฐ˜ํ•œ ๊นŠ์ด 1 cm ๋ฏธ๋งŒ์˜ ๋น„์žฅ ์—ด์ƒ.

์–‘์ธก ์ค‘๊ฐ„ ์Œ์˜ ๋ถ€์‹  ๋ณ‘๋ณ€์œผ๋กœ, ํ˜ˆ์ข…์„ ๋‚˜ํƒ€๋‚ผ ๊ฐ€๋Šฅ์„ฑ์ด ๋†’์Šต๋‹ˆ๋‹ค. ํ•ด์†Œ ํ™•์ธ์„ ์œ„ํ•ด 3๊ฐœ์›” ํ›„ ๋ถ€์‹  ํ”„๋กœํ† ์ฝœ CT ์ถ”์ ์„ ๊ถŒ์žฅํ•ฉ๋‹ˆ๋‹ค.

์ทŒ์žฅ ๋ฏธ๋ถ€์˜ ๊ฒฝ๋„ ๋ถ€์ข… ๋ฐ ์ธ์ ‘ ์ง€๋ฐฉ ํ˜ผํƒ์œผ๋กœ ์ทŒ์žฅ ์†์ƒ์ด ์šฐ๋ ค๋ฉ๋‹ˆ๋‹ค. ๋ฆฌํŒŒ์•„์ œ ์ˆ˜์น˜์™€์˜ ์ƒ๊ด€๊ด€๊ณ„๋ฅผ ๊ถŒ์žฅํ•ฉ๋‹ˆ๋‹ค.

์ „์ข…๊ฒฉ๋™ ์ง€๋ฐฉ ํ˜ผํƒ์„ ๋™๋ฐ˜ํ•œ ๋น„์ „์œ„ ํ‰๊ณจ๋ณ‘ ๊ณจ์ ˆ๋กœ, ์ข…๊ฒฉ๋™ ํ˜ˆ์ข…์ด ์šฐ๋ ค๋ฉ๋‹ˆ๋‹ค. ๋Œ€๋™๋งฅ ์™ธ์ƒ์˜ ์ฆ๊ฑฐ ์—†์Œ.

์ขŒ์ธก ์™ธ์ธก ์ œ3-5 ๋Š‘๊ณจ์˜ ๊ธ‰์„ฑ ๋น„์ „์œ„ ๊ณจ์ ˆ. ๊ธฐํ‰ ์—†์Œ.

์šฐ์ธก ๊ฒฝ๋ถ€, ์ƒํ‰๋ถ€, ์ƒ๋ณต๋ถ€์˜ ์•ˆ์ „๋ฒจํŠธ ํŒจํ„ด ์—ฐ๋ถ€์กฐ์ง ์ขŒ์ƒ.

ํ† ๋ก 

PRO ํ”Œ๋žœ ํ•„์š”

PRO ๋ฉค๋ฒ„์‹ญ์œผ๋กœ ํ† ๋ก  ์ž ๊ธˆ ํ•ด์ œ

ํ”Œ๋žœ ๋ณด๊ธฐ

์ฐธ๊ณ ๋ฌธํ—Œ

  • Gupta A, Stuhlfaut JW, Fleming KW, Lucey BC, Soto JA. Blunt trauma of the pancreas and biliary tract: a multimodality imaging approach to diagnosis.ย Radiographicsย 2004; 24: 1381-1395.
  • Rana AI,ย Kenney PJ,ย Lockhart ME, McGwin G, Morgan DE, Windham ST, Smith JK.ย Adrenal gland hematomas in trauma patients.ย Radiologyย 2004; 230(3): 669-675.
  • Saksobhavivat N, Shanmuganathan K, Chen HH, DuBose JJ, Richard H, Khan MA, Menaker J, Mirvis SE, Scalea TM. Blunt Splenic Injury: Use of a Multidetector CT-based Splenic Injury Grading System and Clinical Parameters for Triage of Patients at Admission. Radiology 2014; 3: 702-711.
  • Yoon W,ย Jeong YY,ย Kim JK, Seo JJ, Lim HS, Shin SS, Kim JC, Jeong SW, Park JG, Kang HK.ย CT in blunt liver trauma.ย Radiographicsย 2005; 25(1): 87-104.

    • ์‚ฌ์ดํŠธ ํ”ผ๋“œ๋ฐฑ

    ์—ฌ๋Ÿฌ๋ถ„์˜ ํ”ผ๋“œ๋ฐฑ์€ CaseStacks ๊ฐœ์„ ์— ๋„์›€์ด ๋ฉ๋‹ˆ๋‹ค. ์˜๊ฒฌ, ์ œ์•ˆ ๋˜๋Š” ๋ฐœ์ƒํ•œ ๋ฌธ์ œ๋ฅผ ๊ณต์œ ํ•ด ์ฃผ์„ธ์š”.

    /5
    ํ”ผ๋“œ๋ฐฑ์„ ๋ณด๋‚ด์ฃผ์…”์„œ ๊ฐ์‚ฌํ•ฉ๋‹ˆ๋‹ค. ์†Œ์ค‘ํžˆ ๋ฐ˜์˜ํ•˜๊ฒ ์Šต๋‹ˆ๋‹ค.