Thoracic Trauma: Analysis of 440 Cases
Yıl: 2019 Cilt: 9 Sayı: 2 Sayfa Aralığı: 97 - 102 Metin Dili: İngilizce DOI: 10.5505/kjms.2019.02223 İndeks Tarihi: 13-06-2022
Thoracic Trauma: Analysis of 440 Cases
Öz: Aim: Trauma still has a significant place among the reasons for
death before the age of 40. This study analyzed the cases with
thoracic trauma that were monitored at our center in a period of
eight years.
Material and Method: The study was conducted with 440 patients over the age of 16 (385 male, 55 female, mean age of 43.2
with a range of 17-89) who were treated at our center due to thoracic trauma in the period of 2011-2017. The patients were examined in terms of their age, sex, trauma etiology, clinical signs,
accompanying injuries, surgery indications, applied surgical interventions, complications that occurred and mortality.
Results: Three hundred and eighty five (87.5%) of our cases were
male, 55 (12.5%) were female, and their mean age was 43.7 (17-
89). While 202 (58.6%) of our cases with blunt thoracic trauma had
isolated trauma, 143 (41.4%) had multiple traumas. 88 (92.6%) of
our cases with penetrating thoracic trauma had isolated trauma,
whereas there were multiple injuries in seven (7.4%). The reasons
for blunt thoracic traumas were motor vehicle accidents, falling
from a height, battery and injuries caused by cattle. Penetrating
thoracic traumas were caused by firearms and injuries by sharp
and pointed objects. Single and multiple rib fractures were
the most frequent among bone structure injuries in the thorax.
Pneumothorax had the first place among intrathoracic injuries. The
most frequently applied surgical method for treatment was tube
thoracostomy, while sternotomy was the least frequently applied
method.
Conclusion: The most significant accompanying problem that increases mortality in thoracic traumas are organ injuries. A patient
with trauma should be systematically examined very fast, and unnecessary tests should be avoided.
Anahtar Kelime: Toraks Travması: 440 Olgunun Değerlendirilmes
Öz: 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 yaralanmalarında en çok tek veya
çoklu kosta kırığı tespit edildi. İntratorasik yaralanmalarda ise
pnömotoraks ilk sırayı aliyordu. Tedavide en fazla uygulanan
cerrahi yöntem tüp torakostomi iken en az uygulanan yöntem
ise sternotomi idi.
Sonuç: Toraks travmalarında mortaliteyi artıran en önemli neden
eşlik eden organ yaralanmalarıdır. Travmalı bir hasta hızlı bir şekilde sistematik olarak değerlendirilmeli ve gereksiz tetkiklerden
kaçınılmalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | Haberal M, SENGOREN DİKİS Ö, Akar E (2019). Thoracic Trauma: Analysis of 440 Cases. , 97 - 102. 10.5505/kjms.2019.02223 |
Chicago | Haberal Miktat Arif,SENGOREN DİKİS ÖZLEM,Akar Erkan Thoracic Trauma: Analysis of 440 Cases. (2019): 97 - 102. 10.5505/kjms.2019.02223 |
MLA | Haberal Miktat Arif,SENGOREN DİKİS ÖZLEM,Akar Erkan Thoracic Trauma: Analysis of 440 Cases. , 2019, ss.97 - 102. 10.5505/kjms.2019.02223 |
AMA | Haberal M,SENGOREN DİKİS Ö,Akar E Thoracic Trauma: Analysis of 440 Cases. . 2019; 97 - 102. 10.5505/kjms.2019.02223 |
Vancouver | Haberal M,SENGOREN DİKİS Ö,Akar E Thoracic Trauma: Analysis of 440 Cases. . 2019; 97 - 102. 10.5505/kjms.2019.02223 |
IEEE | Haberal M,SENGOREN DİKİS Ö,Akar E "Thoracic Trauma: Analysis of 440 Cases." , ss.97 - 102, 2019. 10.5505/kjms.2019.02223 |
ISNAD | Haberal, Miktat Arif vd. "Thoracic Trauma: Analysis of 440 Cases". (2019), 97-102. https://doi.org/10.5505/kjms.2019.02223 |
APA | Haberal M, SENGOREN DİKİS Ö, Akar E (2019). Thoracic Trauma: Analysis of 440 Cases. Kafkas Tıp Bilimleri Dergisi, 9(2), 97 - 102. 10.5505/kjms.2019.02223 |
Chicago | Haberal Miktat Arif,SENGOREN DİKİS ÖZLEM,Akar Erkan Thoracic Trauma: Analysis of 440 Cases. Kafkas Tıp Bilimleri Dergisi 9, no.2 (2019): 97 - 102. 10.5505/kjms.2019.02223 |
MLA | Haberal Miktat Arif,SENGOREN DİKİS ÖZLEM,Akar Erkan Thoracic Trauma: Analysis of 440 Cases. Kafkas Tıp Bilimleri Dergisi, vol.9, no.2, 2019, ss.97 - 102. 10.5505/kjms.2019.02223 |
AMA | Haberal M,SENGOREN DİKİS Ö,Akar E Thoracic Trauma: Analysis of 440 Cases. Kafkas Tıp Bilimleri Dergisi. 2019; 9(2): 97 - 102. 10.5505/kjms.2019.02223 |
Vancouver | Haberal M,SENGOREN DİKİS Ö,Akar E Thoracic Trauma: Analysis of 440 Cases. Kafkas Tıp Bilimleri Dergisi. 2019; 9(2): 97 - 102. 10.5505/kjms.2019.02223 |
IEEE | Haberal M,SENGOREN DİKİS Ö,Akar E "Thoracic Trauma: Analysis of 440 Cases." Kafkas Tıp Bilimleri Dergisi, 9, ss.97 - 102, 2019. 10.5505/kjms.2019.02223 |
ISNAD | Haberal, Miktat Arif vd. "Thoracic Trauma: Analysis of 440 Cases". Kafkas Tıp Bilimleri Dergisi 9/2 (2019), 97-102. https://doi.org/10.5505/kjms.2019.02223 |