Acil serviste penetran göğüs travması: 76 hastanın analizi

The penetrating thoracic trauma in the emergency department: Retrospective analysis of 76 patients

Muhittin Serkan YILMAZ,Umut YÜCEL ÇAVUŞ,Fatih BÜYÜKCAM,Mahmut ÇEVİK,Ahmet KESİM,MUSTAFA AHMET AFACAN,Derya Balcı KÖROĞLU,Muhammed Evvah KARAKILIÇ,Mehmet SIRMALI

Özet

Amaç: Travma, genç nüfusun ba?ta gelen ölüm nedenidir. Travmaya ba?ly ölümlerin %25inden torakstravmasy sorumludur ve di?er %25inde mortaliteye katky sa?lamaktadyr. Bu çaly?mada acil servise penetrangö?üs travmasy ile ba?vuran hastalaryn analizi yapylmy?tyr. Gereç ve Yöntem: 2010 yyly içerisinde acil serviseba?vuran 76 penetran gö?üs travmaly hastanyn ya?lary, cinsiyetleri, travma nedenleri, ba?vuru zamanlary,torasik patolojileri, tany yöntemleri ve sonuçlary, uygulanan tedaviler, yaty? bilgileri ve e?lik eden yaralanmalaranaliz edildi. 76 hasta çaly?maya dâhil edildi. Hastalaryn ya? ortalamasy 31.4 idi (18-63 arasy) ve %93.4üerkekti (n:71), E/K orany 14.2 idi. Bulgular: Penetran gö?üs travmasynda en syk neden delici-kesici aletyaralanmasy (59 hasta, %77.6), ikinci en syk neden ise ate?li silah yaralanmasyydy (14 hasta, %18.4). Gö?üstravmasyna en syk e?lik ekstremite yaralanmalary (19 hasta, %24) e?lik ediyordu. Hastalaryn 24'ü (%31.5)konservatif olarak izlendi; 40 (%52.6) hastaya gö?üs tüpü uygulandy. Sonuç: Penetran gö?üs travmalary ensyk delici-kesici alet yaralanmalary ile gerçekle?ir ve ço?unlukla konservatif yöntemlerle veya tüp torakostomiile tedavi edilebilir.

Abstract

Objective: Trauma is the most frequent cause of death among the young population. Thoracic trauma is responsible for 25% of all deaths due to trauma, and contributes to mortality among the other 25% of deaths due to trauma. In this study, analysis of 76 patients admitted to the emergency department with penetrating chest trauma was performed. Materials and Methods: 76 patients admitted to the emergency department with penetrating chest trauma in 2010 were included to the study. Age, gender, causes of trauma, admission times, thoracic pathologies, diagnostic methods and their results, medical managements, hospitalization information and concomitant injuries were analyzed. 76 patients were included in the study. The mean age was 31.4 , 93.4% of patients were male (n=71), F/M ratio was 14.2. Results: The most common cause of penetrating trauma was stab injury (59 patients, 77.6%), the second most common cause was gunshot injury (14 patients, 18.4%). The most common pathology associated with chest trauma were extremity injury (19 people, 24%). 24 patients (31.5%) were followed conservatively; tube thoracostomy were performed to 40 (52.6%) of the patients. Conclusions: The most frequent cause of penetrating chest trauma is stab injury, it can be treated frequently with conservative management and tube thoracostomy.