THORACIC TRAUMA (TEN YEARS EXPERIENCE) [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2000; 6(1): 44-49

THORACIC TRAUMA (TEN YEARS EXPERIENCE)

Cemal Özçelik1, Akın Eraslan Balcı1, Şevval Eren1, Refik Ülkü1, Mehmet Doblan1, M Nesimi Eren1
Dicle Üniversitesi Tıp Fakültesi Göğüs Kalp ve Damar Cerrahisi Ad

Object: To examine a broad serial which includes thoracic trauma. Method: Between 1989 and 1998, 1642 patients with thoracic trauma were studied retrospectively in Thoracic and Cardiovascular Surgery Department of Dicle University School of Medicine. Some cases were followed with Injury Severity Score (ISS) and lung perfusion and ventilation scans. Results: The patients with penetran trauma were 917(% 56), blunt trauma were 725 (% 44) of total 1642. Injuries associated with thoracic trauma were present in 532 patients (% 26.3). Morbidity rate was % 31.4 and the most frequent cause was clotted hemothorax. Conservative therapy was given to 1509 patients (% 92). Thoracotomy was performed in 133 patients (% 8.1). Fifty-six thoracotomy was immediate (% 3.4) and 77 was late (% 4.7). Mortality rate was %7(116/1642), % 9.5 (87/917) in blunt trauma group, % 4 (29/725) in penetran trauma group. If ISS > 25 and in blunt trauma, mortality was significantly higher (p<0.05). The most frequent mortality cause was ARDS. Thoracotomy mortality was % 25.5 (34/133) and % 15 (20 patients) in immediate, % 10.5 (14 patients) in late thoracotomy group. In non - thoracotomy group, mortality was % 5. / (78/1509). Ventilation/perfusion scans was broken down and mean recovery time was 7-10 days in mild trauma group.

Keywords: TRAUMA, CHEST, THORAX.


TORAKS TRAVMALARI (10 YILLIK DENEYİM)

Cemal Özçelik1, Akın Eraslan Balcı1, Şevval Eren1, Refik Ülkü1, Mehmet Doblan1, M Nesimi Eren1
Dicle Üniversitesi Tıp Fakültesi Göğüs Kalp ve Damar Cerrahisi Ad

Amaç: Toraks travmalarını içeren geniş bir serinin sonuçlarını incelemek. Yöntem: Dicle Üniversitesi Tıp Fakültesi Göğüs Kalp ve Damar Cerrahisi Kliniği'nde 1989 1998 yılları arasında toraks travmalı 1642 olgu retrospektif olarak incelendi. Olguların bir kısmı Yaralanma Ağırlık Skoru (YAS) ve akciğer perfüzyon ve ventilasyon sintigrafileriyle izlendi. Sonuçlar: Toplam 1642 hastadan 917'si (% 56) künt, 725'i (% 44) penetran yaralanmaydı. Yandaş yaralanma 432 hastada vardı (% 26.3). Morbidite oranı 515 hastayla % 31.4 ve en sık morbidite nedeni intratorasik hemotomdu. Hastaların 1509'una (% 92) konservatif tedavi verildi, 133'üne torakotomi yapıldı (% 8.1). Torakotomilerin 56'sı acil (% 3.4), 77si (% 4.7) geç torakotomiydi. Mortalite %7 (116/1642) olup, künt travma grubunda % 9.5 (87/917), penetran travma grubunda % 4 (29/725) bulundu. YAS 25'in üzerinde olanlarda ve künt travmalarda mortalite daha yüksekti. En sık mortalite nedeni Erişkinin Sıkıntılı Solunum Sendromuydu. Torakotomi mortalitesi % 25.5 (34/133) idi ve bunun % 15 (20 hasta)'ini acil, % 10.5 (14 hasta)'ini geç torakotomi oluşturmaktaydı. Torakotomi yapılmayan grubun mortalitesi % 5.1 (78/1509) idi. Hafif travma olgularında ventilasyon/perfüzyon bozulmuştu ve ortalama düzelme süresi 7-10 gündü.

Anahtar Kelimeler: TRAVMA, GÖĞÜS, TORAKS


Cemal Özçelik, Akın Eraslan Balcı, Şevval Eren, Refik Ülkü, Mehmet Doblan, M Nesimi Eren. THORACIC TRAUMA (TEN YEARS EXPERIENCE). Ulus Travma Acil Cerrahi Derg. 2000; 6(1): 44-49


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