GÖÐÜS TRAVMASI: 126 OLGUNUN ANALÝZÝ

Aralýk 1994 ve Nisan 2000 tarihleri arasýnda kliniðimize göðüs travmasý nedeniyle yatýrýlan hastalarýn kayýtlarý gözden geçirildi. 126 hastanýn 113'ü (%89.7) erkek, yaþ aralýðý 7-96 arasýnda olup ortalamasý 35.3 idi. Bütün göðüs travmalý hastalarda en sýk görülen neden 48 olgu (%38) ile trafik kazasý olup künt travmalý 73 olgu (%57.9) vardý. 36 olgu politravmalý idi. Hemo ve/veya pnömotoraks en sýk görülen göðüs yaralanmasý idi (%85.7). Kot fraktürleri 47 olguda vardý (%36.2'sinde 3 kottan daha fazlasýnda fraktür vardý). 4 hastada yelken göðüs ve 5'inde de göðüs duvarý defekti saptandý. Yine 6 hastada pulmoner kontüzyon ve 8'inde de intraparankimal hematom vardý. Plevral drenaj 106 olguda uygulandý (8'i bilateral) ve torakotomi 11'inde endike idi (6 olgu acil). Mortalite %6.9 olup (n: 8), 4'ü politravmalý gruba aitti. Mortalite büyük ölçüde politravma ile ilgilidir. Göðüs travmalý hastalarda yoðun bakým þartlarýnda hýzlý, etkin taný ve tedavi yaklaþýmý, morbidite ve mortalitenin azaltýlmasýnda önemli noktalardan birisini oluþturmaktadýr.

CHEST TRAUMA: ANALYSIS OF 126 CASES

To evaluate our experience in chest trauma we review the records of the patients admitted for chest trauma to our service between December 1994 and April 2000. There were 126 patients (113 males, 89.7%), with an age range of 7 to 96 years (mean 35.3). The most frequent cause of chest injury were traffic accidents 48 cases (38%) and 73 cases (57.9%) were victims of blunt trauma. In 36 cases there was a politrauma. Hemo and/or pneumothorax represented the most common thoracic injury (85.7%). Rib fractures were present in 47 cases (36.2 % with more than 3 rib fractures). Four patients sustained flail chest and 5 defect of thoracic wall. Six patients were pulmonary contusion and 8 intraparenchymal haematom. Pleural drainage was performed in 106 cases (8 cases bilateral) and thoracotomy was indicated in 11 (6 cases emergency). Mortality was 6.9% (n: 8), of which 4 belonged to politrauma group. Mortality is directly related with politrauma. In the patients of the chest trauma, agressive diagnostic and therapeutic approaches in association with intensive care follow-up remains one of the most important points to decrease mortality and morbidity rate.