Lee Jung Hwan, Chough Chung Kee, Lee Jae Il
Department of Neurosurgery, Pusan National University Hospital, Busan, Korea.
Department of Neurosurgery, Yeouido St. Mary's Hospital, The Catholic University College of Medicine, Seoul, Korea.
Korean J Neurotrauma. 2017 Oct;13(2):85-89. doi: 10.13004/kjnt.2017.13.2.85. Epub 2017 Oct 31.
Recently, the number of patients who fell or jumped from bridges over Han River has rapidly increased. However, the injury patterns and outcomes of these patients have been poorly characterized. The aim of this study was to determine the injury characteristics of these patients.
We reviewed the medical records of all patients who were transferred to the Emergency Room due to jumping or falling from bridges over Han River between 2011 and 2015.
A total of 203 patients were included. Among them, 14 (6.9%) patients were dead on arrival, 51 (25.1%) patients were expired in the hospital, and 138 (70%) patients were discharged alive, including a patient who had severe neurologic sequelae after resuscitation. Skeletal and internal organ injuries were identified based on radiologic images. The most injured organ was thorax (58.1%), followed by spine (23.1%), abdomen (11.1%), extremity (7.7%), and cranium (5.2%). Chest tubing for pneumothorax or hemothorax was performed in four (2.9%) patients. Surgical intervention was needed for four patients (2.9%).
Trauma patterns were concentrating on the thorax and spine regions. Therefore, complete radiographic evaluation should be performed for these patients.
最近，从汉江桥上坠落或跳下的患者数量迅速增加。然而，这些患者的损伤模式和预后情况尚未得到充分描述。本研究的目的是确定这些患者的损伤特征。
我们回顾了2011年至2015年间因从汉江桥上跳下或坠落而被送往急诊室的所有患者的病历。
共纳入203例患者。其中，14例（6.9%）患者到达时死亡，51例（25.1%）患者在医院死亡，138例（70%）患者存活出院，其中包括1例复苏后有严重神经后遗症的患者。根据影像学图像确定骨骼和内脏损伤情况。损伤最严重的器官是胸部（58.1%），其次是脊柱（23.1%）、腹部（11.1%）、四肢（7.7%）和颅骨（5.2%）。4例（2.9%）患者因气胸或血胸进行了胸腔置管。4例患者（2.9%）需要手术干预。
创伤模式集中在胸部和脊柱区域。因此，应对这些患者进行全面的影像学评估。
