Batman ve çevresinde yüksekten düþmeler

AMAÇ: Yüksekten düþenlerin demografik bilgileri, mortalite oranlarý, düþme nedenleri ve ölüm sonrasý bulgularý deðerlendirildi. GEREÇ-YÖNTEM: Bu çalýþmaya, kaza sonucu yüksekten düþmeye maruz kalan 538 hasta alýndý. Olgular Batman’da yedi ay içerisinde prospektif olarak derlendi. BULGULAR: Ortalama yaþ 12,4±3,22 yýl (daðýlým 3 ay-98 yýl) idi. Hastalarýn %56,5’i altý yaþ altý, %83,5’i de 20 yaþýndan küçük idi. Ortalama düþme yüksekliði 3,2±2,4 m olarak saptandý. Mortalite oraný %2,2 bulundu. Mortalite oraný damdan düþenlerde en yüksek idi. En çok yaralanma kafada meydana gelmiþti ve ölenlerin tamamýnda (%100) kafa yaralanmasý vardý. Altý hasta karýn kanamasý nedeniyle, 141 hasta da ekstremite kýrýklarý nedeni ile takip edildi. Hastalarýn %6,7’si ameliyat edildi; %83,8’i acil serviste tedavi edildi. SONUÇ: Bu çalýþmanýn sonuçlarý literatür bilgileri arasýnda uyuþmazlýk yoktu. Yüksekten düþmeler en fazla 0-5 yaþ grubu olanlarda meydana gelmiþti. Kranyoserebral travma ölümcül düþmelerin en yaygýn yaralanmasý idi. Erkeklerde yüksekte düþme oranlarý kadýnlara göre daha yüksek bulundu.

Falls from heights in and around the city of Batman

BACKGROUND: We evaluated the demographic data, mortality rates, fall causes, and post-mortem findings of individuals who fell from heights. METHODS: Five hundred thirty-eight patients who sustained injuries after an accidental fall from heights were entered into the study. Our cases were collected prospectively in Batman over a seven- month period. RESULTS: The mean age was 12.4±3.22 years (3 months-98 years); 56.5% of patients were under 6 years old and 83.5% were under 20 years old. The mean fall height was 3.2±2.4 m. The mortality rate was 2.2%, and was highest among the patients who fell from flat-roofed houses. The most common injuries were to the head, and 100% of those who died had a head injury. Six patients were followed because of abdominal bleeding and 141 patients due to extremity fractures; 6.7% of patients were operated on and 83.8% of patients were treated in the emergency department. CONCLUSION: The results of this study were at variance with literature data with respect to the following: falls from heights were most common in the 0-5 years of age group. Craniocerebral trauma is the most common injury in fatal falls. Males had a higher rate of falls from height than females.