APPROACH TO DIAGNOSIS AND TREATMENT OF SPLENIC TRAUMA WITH OUR 5-YEAR EXPERIENCE

235patients with splenic injuries were evaluated, between 1989 and 1994. There were 190 blunt, and 45 penetrating injuries. 175 of the patients were operated, and 60 were observed nonoperatively. 95 ( 54%) of the operated patients had isolated splenic injuries and 80 patients ( 46%) had concomitant organ injuries. Liver and kidney were the major concomitantly injured organs. 165 patients (96%) had splenectomy, 7 had splenoraphy, and 3 had partial splenectomy. The mortality rate for operated patients was 11%, and overall mortality rate was 9%.

BEÞ YILLIK DENEYÝMLERÝMÝZ EÞLÝÐÝNDE DALAK TRAVMALARININ TANI VE TEDAVÝSÝNE YAKLAÞIMIMIZ

Bu çalýþmada 1989-1994 yýllarý arasýnda birimimize baþvurup dalak yaralanmasý saptanarak tedavi edilen 235 hasta deðerlendirildi. 190 olguda künt, 45 olguda penetran yaralanma saptandý. 175 hasta, ameliyat edilirken 60 hasta ise nonoperatif olarak izlendi. Ameliyat edilen hastalarýn 95'inde (%54) izole dalak yaralanmasý tespit edilirken 80 hastada ek organ yaralanmasý mevcuttu. Karaciðer ve böbrek yaralanmalarý en çok izlenen yandaþ yaralanmalar idi. Ameliyat edilen hastalarýn 165'ine splenektomi (%96), 7'sine splenorafi, 3'üne de parsiyel splenektomi uygulandý. Mortalite oraný ameliyat edilen hastalar içinde %11 iken tüm hastalar içinde %9 olarak saptandý.