Periferal vascular injuries related deaths

TÜRKMEN İNANIR, NURSEL; EREN, Bülent; BİLGEN, Sadık; Fedakar, Recep

Periferal vascular injuries related deaths

Sadık BİLGEN, (Uludağ Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Bursa, Türkiye)

NURSEL TÜRKMEN İNANIR, (Uludağ Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Bursa, Türkiye)

Bülent EREN, (Uludağ Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Bursa, Türkiye)

Recep FEDAKAR (Uludağ Üniversitesi, Tıp Fakültesi, Adli Tıp Anabilim Dalı, Bursa, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2009 Cilt: 15 Sayı: 4 Sayfa Aralığı: 357 - 361 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Periferal vascular injuries related deaths

Öz:

AMAÇ Periferik damar yaralanmaları sıklıkla ölümcül ve ölümcül olmayan travmalarda saptanmaktadır. Tedavide önemli ilerlemeler kaydedilmesine karşın, bunlar hala önemli ölüm nedenleri olarak kalmaktadır. GEREÇ VE YÖNTEM Bu çalışmada, 1996 ile 2006 yılları arasında Adli Tıp Kurumu Bursa Grup Başkanlığı Morgu?nda yapılan 6796 otopsiye ait raporlar retrospektif olarak incelendi. BULGULAR Çalışmaya, damar yaralanmasına bağlı hayatını kaybettiği saptanan 63 (%0,9) olgu dahil edildi. Olguların 57?si (%90,5) erkek olup, yaş ortalaması 36 bulundu; yaralanmaların %58,7?si kesici delici alet yaralanmasına bağlı idi. Olguların %85,7?sinde orijinin cinayet olduğu belirlendi; %25?inde kan alkol seviyesi 44 ile 256 mg/dL arasında saptandı. SONUÇ Ekstremite damar yaralanmalarında, mortaliteyi azaltmak açısından tecrübeli cerrahi ekibin bulunması, bunun yanında efektif hastane öncesi acil girişim yapılması hayati önem taşımaktadır. Primer ekstremite damar yaralanmasına bağlı ölen kişilerin otopsilerinde; yaralanan damar, yaralanma sayısı ve ölümcül yaralanma sayısı, yaralanma yerleşimi ve tarafı özellikle üzerinde durulması gereken konulardır.

Anahtar Kelime: Femoral arter Femoral ven Otopsi Ekstremiteler Ölüm oranı Yaralar, delici kesici alet Geriyedönük çalışma Kan damarları

Konular: Cerrahi

Periferik damar yaralanmalarına bağlı ölümler

Öz:

BACKGROUND Peripheral vascular injuries are frequently encountered in lethal and nonlethal trauma. Although significant improvements in treatment have been achieved, such injuries are still important causes of mortality. METHODS In this study, the records of 6769 autopsies performed between 1996 and 2006 at the Council of Forensic Medicine Bursa Group Chairmanship Morgue Department were evaluated retrospectively. RESULTS The 63 cases (0.9%) who were determined to have died due to vascular injury were included in this study. Fifty-seven cases (90.5%) were men (mean age: 36 years); 58.7% of the injuries were due to stab wounds. The femoral artery and vein were the most frequently injured vessels. The origin was a homicide in 85.7% of the cases. In 25% of the cases, blood alcohol levels were between 44 and 256 mg/dL. CONCLUSION The availability of experienced surgical teams and effective prehospital emergency care are vital for decreasing the mortality due to extremity vascular injuries. In the autopsy of a patient who died primarily due to extremity vascular injury, the injured vessel, numbers of injuries and of lethal injuries, and locations and sides of the injuries shed light on the possible presence of intention

Anahtar Kelime: Wounds, Stab Retrospective Studies Blood Vessels Femoral Artery Femoral Vein Autopsy Extremities Mortality

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	BİLGEN S, TÜRKMEN İNANIR N, EREN B, Fedakar R (2009). Periferal vascular injuries related deaths. , 357 - 361.
Chicago	BİLGEN Sadık,TÜRKMEN İNANIR NURSEL,EREN Bülent,Fedakar Recep Periferal vascular injuries related deaths. (2009): 357 - 361.
MLA	BİLGEN Sadık,TÜRKMEN İNANIR NURSEL,EREN Bülent,Fedakar Recep Periferal vascular injuries related deaths. , 2009, ss.357 - 361.
AMA	BİLGEN S,TÜRKMEN İNANIR N,EREN B,Fedakar R Periferal vascular injuries related deaths. . 2009; 357 - 361.
Vancouver	BİLGEN S,TÜRKMEN İNANIR N,EREN B,Fedakar R Periferal vascular injuries related deaths. . 2009; 357 - 361.
IEEE	BİLGEN S,TÜRKMEN İNANIR N,EREN B,Fedakar R "Periferal vascular injuries related deaths." , ss.357 - 361, 2009.
ISNAD	BİLGEN, Sadık vd. "Periferal vascular injuries related deaths". (2009), 357-361.

APA	BİLGEN S, TÜRKMEN İNANIR N, EREN B, Fedakar R (2009). Periferal vascular injuries related deaths. Ulusal Travma ve Acil Cerrahi Dergisi, 15(4), 357 - 361.
Chicago	BİLGEN Sadık,TÜRKMEN İNANIR NURSEL,EREN Bülent,Fedakar Recep Periferal vascular injuries related deaths. Ulusal Travma ve Acil Cerrahi Dergisi 15, no.4 (2009): 357 - 361.
MLA	BİLGEN Sadık,TÜRKMEN İNANIR NURSEL,EREN Bülent,Fedakar Recep Periferal vascular injuries related deaths. Ulusal Travma ve Acil Cerrahi Dergisi, vol.15, no.4, 2009, ss.357 - 361.
AMA	BİLGEN S,TÜRKMEN İNANIR N,EREN B,Fedakar R Periferal vascular injuries related deaths. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(4): 357 - 361.
Vancouver	BİLGEN S,TÜRKMEN İNANIR N,EREN B,Fedakar R Periferal vascular injuries related deaths. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(4): 357 - 361.
IEEE	BİLGEN S,TÜRKMEN İNANIR N,EREN B,Fedakar R "Periferal vascular injuries related deaths." Ulusal Travma ve Acil Cerrahi Dergisi, 15, ss.357 - 361, 2009.
ISNAD	BİLGEN, Sadık vd. "Periferal vascular injuries related deaths". Ulusal Travma ve Acil Cerrahi Dergisi 15/4 (2009), 357-361.