심근효소 상승 유무에 따른 목맴 환자들의 임상적 특성

Title
심근효소 상승 유무에 따른 목맴 환자들의 임상적 특성
Other Titles
Clinical Study of Patients with Elevated Troponin-I in Near-hanging Injury
Author
임태호
Keywords
심근효소; 심장초음파검사; 목맴환자; Troponin-Ⅰ; Cardiomyopathy; Hanging; Troponin
Issue Date
2012-12
Publisher
대한외상학회
Citation
대한외상학회지, 2012, 25(4), pp.196-202
Abstract
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≥0.1 ng/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.
URI
http://www.ndsl.kr/ndsl/search/detail/article/articleSearchResultDetail.do?cn=JAKO201214652522515http://hdl.handle.net/20.500.11754/53001
ISSN
1738-8767
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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