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THE ROLE OF cTnI, IN THE DEDTECTION OF ETIOLOGICAL FACTORS OF CARDIAC CONTUSION
Abdullah Sadık Sadık Girişgin1, Başer Cander2, Yavuz Turgut Gederet3, Yunus Ağralı41Selçuk Üniversitesi Tıp Fakültesi İlk ve Acil Yardım Anabilim Dalı, Konya, Turkey2Konya Numune Hastanesi Acil Servisi, Konya, Turkey
3Selçuk Üniversitesi Tıp Fakültesi Biyokimya Anabilim Dalı, Konya, Turkey
4Karaman Devlet Hastanesi Genel Cerrahi Kliniği, Karaman, Konya, Turkey
BACKGROUND: Cardiac contusion, asociated with on blunt chest trauma, was investigated according to changes of CPK, CKMB, ECG and especially cTnl levels.
METHODS: In this study, 88 cases with blunt traumas were evaluated prospectively. 61 cases with thoracic trauma and 27 cases without thoracic trauma as the control group were studied.
RESULTS: In 12 of61 cases with thoracic trauma cTnl was elevated. cTnl showed no increase in cases without thoracic trauma. CKMB level was high in both thoracic trauma and control groups. 11 of12 cases with elevated cTnl were traffic accidents. cTnl did not increase in 6 cases with sternum fractures.
CONCLUSIONS: We consider that decceleration wounds are the main cause of cardiac contusions. Altough thoracic trauma is essential in the pathogenesis of cardiac cortision, rib fracture is not a rule. Cardiac contusion is not related directly with degrees of body and thoracic trauma. However it is more related with the degree of cardiac trauma.
KARDİAK KONTÜZYONUNDAKİ ETYOLOJİK FAKTÖRLERİN BELİRLENMESİNDE cTnI'NIN YERİ
Abdullah Sadık Sadık Girişgin1, Başer Cander2, Yavuz Turgut Gederet3, Yunus Ağralı41Selçuk Üniversitesi Tıp Fakültesi İlk ve Acil Yardım Anabilim Dalı, Konya, Turkey2Konya Numune Hastanesi Acil Servisi, Konya, Turkey
3Selçuk Üniversitesi Tıp Fakültesi Biyokimya Anabilim Dalı, Konya, Turkey
4Karaman Devlet Hastanesi Genel Cerrahi Kliniği, Karaman, Konya, Turkey
Manuscript Language: Turkish