İç savaş cerrahi deneyimi: Ateşli silah veya şarapnel yaralanmaları

Key Findings & Data:In this study, patients who admitted our hospital, diagnosed with vascular trauma due to gun shot or shell fragments in the civil war in Syria were evaluated, and the factors associated with mortality were identified.Material and Methods: The study included 28 patients who admitted our hospital between June 2012 and October 2013.Results: There were 24 (85.7%) male and 4 (14.3%) female patients with a mean age of 28.05±6.28 years.

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Conclusion & Impact:A correct basic medical intervention would help to further reduce mortality rates.

🔬Design:Research Article

📍Scope:2012 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: A number of patients with gunshot wounds come to Turkey because of the ongoing civil war in Syria. In this study, patients who admitted our hospital, diagnosed with vascular trauma due to gun shot or shell fragments in the civil war in Syria were evaluated, and the factors associated with mortality were identified.Material and Methods: The study included 28 patients who admitted our hospital between June 2012 and October 2013.Results: There were 24 (85.7%) male and 4 (14.3%) female patients with a mean age of 28.05±6.28 years. The mean time from trauma to admittance was 16.32±15.21 hours (range 4 to 48 hours). Five (17.9%) patients were intubated before admission. Nine patients (32.1%) received fasciotomy after operation. Amputation rate was 7.1% in 2 patients. The inhospital mortality was seen in 4 (14.2%) patients. The most important factor associated with mortality was presence of preoperative shock and intubation (p=0.001).Conclusion: Our study showed that preoperative clinical findings affected the mortality associated with vascular trauma. A correct basic medical intervention would help to further reduce mortality rates.

Özet

Amaç: Suriye'de sürmekte olan iç savaş nedeniyle ülkemize birçok ateşli silah yaralanması gelmektedir. Bu çalışmada; hastanemize başvuran, Suriye' de ateşli silah veya şarapnel ile vasküler travma geçirmiş hastalar değerlendirilmiş, ve mortaileye etki eden faktörler araştırılmıştır.Gereç ve Yöntemler: Çalışmaya hastanemize Haziran 2012 - Ekim 2013 tarihleri arasında başvuran 28 hasta dahil edilmiştir.Bulgular: Yaş ortalaması 28,05± 6,28 yıl olan 24 (%85,7) erkek ve 4 (%14,3) kadın hasta çalışmaya dahil edilmiştir. Travmadan hastaneye başvuruya kadar geçen süre ortalama 16,32±15,21 saatti (4-48 saat). Beş (%17,9) hasta başvuru öncesi entübe edilmişti. Dokuz (%32,1) hastaya operasyon sonrası fasiotomi uygulandı. Amputasyon oranı 2 hasta ile %7,1 idi. Hastane mortalite oranı 4 hasta ile %14,2 idi. Mortalite ile ilgili en önemli faktör preoperatif şok ve entübasyon varlığı olarak bulundu (p=0,001).Sonuç: Bizim çalışmamız preoperatif klinik verilerin, vasküler travma ile ilişkili mortaliteyi etkilediğini göstermiştir.Doğru yapılmış temel tıbbi müdahale mortaliteyi azaltmada yardımcı olacaktır.

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Cite This Article

HANEDAN, M. O., POLAT, M., DUMAN, Z., KETENCİLER, S., ERCİŞLİ, A. M., ÇİFTÇİ, B., YAMAK, B. (2022). İç savaş cerrahi deneyimi: Ateşli silah veya şarapnel yaralanmaları. Damar Cerrahi Dergisi, Cilt: 23 - Sayı: 1, 1–4. https://ajindex.com/articles/486744

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