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Toraks Travması: 440 Olgunun Değerlendirilmesi
2019
Journal:  
Kafkas Tıp Bilimleri Dergisi
Author:  
Abstract:

Amaç: Günümüzde halen 40 yaş altı ölüm nedenleri arasında travma önemli bir yer tutmaktadır. Bu çalışmada sekiz yıllık süre içerisinde merkezimizde izlenen toraks travmalı olgular değerlendirildi. Materyal ve Metot: Çalışmaya 2011-2017 tarihleri arasında toraks travması nedeniyle merkezimizde tedavi edilen 16 yaş üzerindeki 440 hasta ( 385 erkek, 55 kadın; ortalama yaş 43.2 dağılım 17-89) alındı. Hastalar yaş, cinsiyet, travma etyolojisi, klinik bulgular, eşlik eden yaralanmalar, ameliyat endikasyonları, uygulanan cerrahi girişimler, gelişen komplikasyonlar ve mortalite açısından incelendi. Bulgular: Olgularımızın 385’i (%87.5) erkek, 55’i (%12.5) kadın olup, yaş ortalaması 43.2 (17-89) yıl idi. Künt toraks travmalı olgularımızın 202’si (%58.6) izole travma iken, 143’ü (%41.4) multipl travmaydı. Penetran toraks travmalı olgularımızın 88’i (%92.6) izole toraks travması iken, yedi (%7.4) olguda ise multipl yaralanma mevcuttu. Künt toraks travmalarının nedenleri motorlu araç kazaları, yüksekten düşme, darp, büyük baş hayvanların sebeb olduğu yaralanmalar idi. Penetran toraks travmalarını ise ateşli silah yaralanması ve delici kesici alet yaralanması oluşturuyordu. Toraksın kemik yapı yaralanmalarındaçok tek veya çoklu kosta kırığı tespit edildi. İntratorasik yaralanmalarda ise pnömotoraks ilk sırayı aliyordu. Tedavidefazla uygulanan cerrahi yöntem tüp torakostomi ikenaz uygulanan yöntem ise sternotomi idi. Sonuç: Toraks travmalarında mortaliteyi artıranönemli neden eşlik eden organ yaralanmalarıdır. Travmalı bir hasta hızlı bir şekilde sistematik olarak değerlendirilmeli ve gereksiz tetkiklerden kaçınılmalıdır

Keywords:

Torax Trauma: 440 Results Assessment
2019
Author:  
Abstract:

Today, trauma still holds a major place among the causes of death under the age of 40. In this study, the trauma occurrences observed in our center within eight years were assessed. Materials and Methods: The study included 440 patients over the age of 16 who were treated in our centre due to torace trauma between 2011-2017 (385 men, 55 women; an average age of 43.2 and 17-89) in the study. Patients were studied in terms of age, gender, trauma etiology, clinical findings, accompanying injuries, surgical indications, performed surgical trials, developing complications and mortality. Results: 385 of our cases were men (87.5%) and 55 (12.5%) were women, with an average age of 43.2 (17-89) years. 202 of our traumatic occurrences in the chest torace (58.6%) are isolated traumatic, while 143 (41%) are traumatic. It was multiple trauma. In 88 (92.6) cases of our penetrating thorax traumatic occurred isolated thorax trauma, while in seven (7.4) cases there were multiple injuries. The causes of the toraks trauma were motor vehicle accidents, falling from the height, crashes, injuries caused by large heads. The penetrating toraks trauma was caused by a firearm injury and a cutting-edge instrument injury. Many single or multiple bone breaks have been detected in the bone structure injuries of the torace. In the intratorasic injuries, pnömotoraks took the first place. The therapeutic method used by the therapeutic method was sternotomy, and the method used by the therapeutic method was toracostomy. The result is that in torace trauma, the cause of increased mortality is accompanied by organ injuries. A traumatic patient should be quickly systematically evaluated and avoided unnecessary examinations.

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Kafkas Tıp Bilimleri Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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