악골골절이 동반된 다발성손상으로 사망한 환자의 I.S.S.(Injury Severity Score)에 관한 임상적연구

The clinical study about injury severity score of the expired patients because of multiple trauma involving jaw fracture

This is a retrospective study about injury severity score of the expired patients because of multiple trauma involving jaw fracture. The study was based on a series of 37 patients that had been treated at Wonju Christian Hospital during the period of Jan. 1983 to Dec. 1987. The results obtained were as follows: 1. For the team approach on multiple injury care, I.S.S. was suggested as pioper system in rating the injury severity. 2. The most common location was head & neck (95%) among major three portions of multiple injuries involving facial bone fracture, Extremities (32%), Abdomen (19%), chest(8%) were then next in order of frequency. 3. The mean ISS was 36 score, there were variabilities between the minimum (27) and the maximum (59). 4. The most common period was 2-7 days (43%) from accident to death. 5. The most common direct causes of death was intracranial injury (57%) and other causes, were cardiopulmonary arrest due to variable causes chest injury, hypovolemic shock, asphyxia. 6. Among head injury, there were vomiting (43%) & specific mental disorders (59%), such as stupor, semicoma & coma.