DUODENAL INJUIRES

Between 1990 and 1994, 7 duodenal injuires were evaluated retrospectively in order to emphasize the difficulty in diagnosis especially in blunt trauma victims and the high mortality rate in delayed cases. Male to female ratio was 6/1 and the mean age was 28. Three of the patients were injured by gun-shoot, two were injuired by penetrating objects and two were injuired by traffic accidents. We did not have any difficulties in diagnosis in our patients at all; five cases were penetrating injuries and fortunately peritoneal tenderness arose early in other two cases. In the majority of cases, primary repair or primary repair with decompression was performed mean while Whipple operation was done in only one case. None of the patients were lost. We claim that, early diagnosis and treatment in these patients is essential for low morbidity and mortality.

DUODENUM YARALANMALARI

1990-1994 yýllarý arasýnda Kartal Eðitim ve Araþtýrma Hastanesinde tedavi edilen duodenal yaralanmak 7 olgu, künt yaralanmalarda tanýnýn güçlüðü ve gecikmede mortalitenin artacaðý vurgulamak amacýyla retrospektif olarak incelendi. Altýsý erkek (%86), biri kadýn (%14) olan olgularýn yaþ ortalamasý 28'di. Üç olgu ateþli silah, iki olgu kesici-delici alet ve iki olguda trafik kazasý sonucu yaralanmýþtý. Olgularýmýzýn beþinde penetran yaralanma bulunduðundan ve diðer ikisinde de periton irritasyon bulgularý erken ortaya çýktýðýndan taný güçlüðümüz olmadý. Tedavi olarak primer sütür veya primer sütür + dekompresyon ve bir olguda Whipple ameliyatý yapýldý. Hasta kaybýmýz olmadý. Bu hastalarýn mümkün olduðunca erken ameliyat edilmesinin, mortaliteyi düþürdüðü sonucuna varýldý.