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Journal of the Korean Geriatrics Society 2007;11(3):123-129.
Published online September 30, 2007.
Clinical Characteristics in Geriatric Sternal Fracture: Comparison with Non-Geriatric People
Sung Eun Kim, Jeong Yeol Seo, Moo Eob Ahn, Hee Cheol Ahn, Seong Yong Lee, Seong Hwan Cheon, Kwang Min Choi, Hyung Soo Kim, Jun Hwi Cho, Joong Bum Mun, Taeg Gun Ok
1Department of Emergency Medicine, Hallym University College of Medicine, Chunchon, Korea. siris94@hanmail.net
2Department of Chest Surgery, Hallym University College of Medicine, Chunchon, Korea.
3Department of Emergency Medicine, Kangwon National University College of Medicine, Chunchon, Korea.
노인 흉골 골절의 임상적 특징: 비 노인과의 차이점 비교
Abstract
BACKGROUND
The objects of this study is to compare the clinical aspects and characteristics of the sternal fracture between non-old aged and the old aged.
METHODS
This study is based on 105 patients who were diagnosed as a sternal fracture at the emergency center of Chunchon Sacred Heart Hospital from January of 2001 to June of 2007.
RESULTS
The overall clinical presentations of sternal fracture of the old aged are similar to that of non-old aged. There were some differences in the patterns of spinal fracture occurred with sternal fracture between non-old aged and the old aged. In non-old aged group, there were 7 patients(8.6%), who had the facture of spine along with sternal fracture, and there were 4 male and 3 females. In the old aged group, there were 4 male and 4 female patients out of 8 patients. There were 2 female patients who had both thoracic and lumbar spinal fractures in the old aged group.
CONCLUSION
There were many cases of injury which were accompanied with the sternal fracture. When the two groups are compared, the spinal facture were more often in the old aged group. Especially, the fracture of lumbar spine occurred more frequent in the old aged group.
Key Words: Trauma, Sternum, Spinal fracture
초 록
연구배경: 흉골 골절로 진단된 환자를 대상으로 노인과 비 노인을 비교하여 노인 흉골골절의 임상 양상 및 특징을 알아보고자 하였다.

방법: 2001년 1월부터 2007년 6월까지 한림대학교 춘천성심병원 응급센터로 내원한 환자 중 흉골골절로 진단된 105명을 대상으로 연구를 시행하였다.

결과: 비 노인과 노인의 전체적인 흉골 골절의 임상 양상은 동일하게 나타났다. 차이점으로는 동반된 척추 손상이 비 노인에서는 7명(8.6%)으로 남녀 각각 남자 4명 여자 3명이었고, 노인에서는 8명(33.3%)으로 남녀 각각 4명이었다. 이 중 특히 요추부 골절의 경우 비 노인 2명(2.5 %)과 비교하여 노인 7명(29.2%)로 높게 나타났으며, 흉요추 골절이 동시에 나타난 환자들은 3명으로 이 중 2명이 노인에서 발생하였다.

결론: 동반 손상 중 노인에서 척추 골절의 빈도가 높았고, 그 중 요추부 골절이 노인에서 많이 발생하였다.



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