Results of blunt thoracic trauma management in children

Key Findings & Data:The most common mechanisms of injury were motor vehicle crashes (%30), pedestrian injury (%55) and falling from a high level (% 13).

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Conclusion & Impact:The overall mortality rate for children with thoracic injury is 3%.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

During last 5 years, 60 children were consecutively admitted to our emergency department with blunt chest trauma. The most common mechanisms of injury were motor vehicle crashes (%30), pedestrian injury (%55) and falling from a high level (% 13). The most common intrathoracic injuries were pulmonary contusion (%50), multiple injuries (%20), pneumothorax (%7), haemothorax (7%), main bronchus rupture (%5), diaphragmatic rupture (%5) and isolated rib fractures (%5). The mean pediatric trauma score (PTS) of the children who had additional system injuries were significantly worse than the children who had isolated blunt chest trauma. Associated system injuries resulted in increase in length of hospital stay, compared to children with isolated chest injuries. Ten percent of the children were entubated and admitted to the intensive care unit, where they stayed an average of 5.8 days. The overall mortality rate for children with thoracic injury is 3%.

Özet

Son 5 yıl içerisinde 60 pediatrik olgu kunt toraks travması (KTT) nedeniyle acil polikiliniğimize müracaat ettirilmiştir. Serimizde karşılaşılan yaralanma mekanizmalarının sıklık sırası şöyledir: Araç dışı trafik kazası (%55), araç içi trafik kazası (%30),düşme (%13) ve ezilnıelidir (%2). En sık karşılaşılan intratorasik yaralanmalar; pıılmoner kontüzyon (%50), mııltipl yaralanmalar (%20), pnömotoraks (%7), hemotoraks (%7), ana bronş riiptürü (%5), diafragma rüptürii (%5) ve izole kot fraktiirüdür (%5). İlave sistem yaralanması olan olguların ortalama pediatrik travma skoru (PTS); izole KTT olgularının ortalama PTS değerinden daha küçüktür. Aynı şekilde hastanede kalış süresinde de, ilave sistem yaralanmaları olan olgularda önemli artış görülmektedir. Hastaların % Iff u entübe edilerek yoğun bakım ünitesine yatırılmış ve ortalama 5.8 gün mekanik solunum desteği uygulanmıştır. KTTlı olgıılarıınızdaki ortalama mortalite oranı %3 olarak saptanmıştır.

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Cite This Article

KILIÇ, N., KIRIŞTIOĞLU, İ., TÜRKEL, T., GÜRPINAR, A. N., DOĞRUYOL, H. (1998). Results of blunt thoracic trauma management in children. Ulusal Travma Dergisi, Cilt: 4 - Sayı: 2, 120–123. https://ajindex.com/articles/325123

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