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이비인후과 응급 환자중 경찰관에 관한 임상적 분석
Published Online: May 31, 2020
ABSTRACT
An emergency patient should be treated immediately and adequately not only to relief pain but also to save the life. It will be necessary to evaluate the cause and the distribution of the diseases through a clinical analysis of the patients. It was performed by retrospective chart review of the patients, especially of policemen, in emergency room of the National Police Hospital, during three years ranged from Mar. 1989 through Feb. 1992.
The results were summarized as follows:
The patients of policemen were 546(58.9%) of 927, the total patients of the otolaryngologic field.
The traumatic patients were 416(76.2%) and the non-traumatic patients were 130(23.8%). In the types of lesion in traumatic patients, contusion and laceration was 318, fracture was 91 and the other was 7. In non-traumatic patients, acute tonsillo-pharyngitis was 92, epistaxis was 16 and the others were 22.
The traumatic patients were divided into two groups, one is a group of patients injured during anti-demonstration activity, 225, and another is a group injured by other causes, 191. The most common cause of a former group was stone as 178(42.8%), and the other causes were iron pipe(22), flaming bottle( 10), wood stick(6), and blow(9). The causes of a later group were physical contact(94), exercise & accidents(80), and intrumental attack(17).
Of the sites of injury, face including nose(303, 72.8 %) was the most common, and the others were ear(72), neck and larynx(19), and oral cavity(22).
In the sites according to the types of lesion, contusion and laceration was most commonly occurred in the face(233, 56.0%, and the other sites of it were ear(64), neck & larynx(19), nose(16), oral cavity(2). Of the fractures, nasal bone fracture was 53(12.7%) as the most common type, and the others were mandible(17), zygoma(16), temporal bone(4), and blow-out fracture (1). The patients of other types of lesion were 7.
In the types of lesion of the patients injured during anti-demonstration activity, contusion and laceration was 156(69.3%) of 225, and most commonly occured by stone as 133 of 156. The fracture was 69(30.7%) of 225, and most commonly occurred by stone as 45 of 69. In the sites of injury in this group, face was the most common site as 160(71.1%) of 225.
In the types of lesion of the patients injured by other causes of trauma, contusion and laceration was 162(84.8%) of 191, and was most commonly occurred by physical contact(42.4%) and exercise & accidents(37.2%). The fracture was 22(11.5%) of 191, and commonly occurred by physical contact(4.7%), and exercise & accidents(4.2% )· The patients of the other types of lesion were 7. In the sites of injury in this group, face was the most common site as 143(74.9%) of 191.
In the non-traumatic patients, acute tonsillo-pharyngitis was the most common disease, and others were epistaxis, foreign bodies, otofuruncle and etc.