Yıl: 2009 Cilt: 19 Sayı: 1 Sayfa Aralığı: 73 - 76 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Gunshot injuries due to celebratory gun shootings

Öz:
İnsanlar kutlama anlarında sıklıkla havaya ateş etmektedir ve istemeden de olsa yaralanmalara neden olmaktadır. Bu tür ateşli silah yaralanmaları uluslararası hastalık sınıflandırmasına göre kutlama atışı yaralanmaları olarak isimlendirilmektedir.OLGU: 8 yaşında, kız, hasta acil servise solunum arresti olarak getirildi, kardiyopulmoner resusitasyon yapıldı, kalp atımları geri döndü. Fizik muayenede: Orta hatta koronal süturun 2 cm önünde 1x1 cm boyutlarında cilt defekti haricinde patolojik bir bulguya rastlanmadı. Çekilen kranial CT'de orta hatta koronal süturun 2 cm önünde 0,5 cm çapında kemik defekti, frontal bölgede parankimal hematom ve tetraventriküler hemoraji tespit edildi. Öncelikli olarak ateşli silah yaralanması olabileceği düşünüldü ancak kranial görüntülemede buna neden olabilecek herhangi bir kurşun çekirdeği veya çıkış deliği gözlenemedi. Bunun üzerine çekilen servikotorakal direkt grafide Th 2-3 vertebra seviyesinde kurşun çekirdeği ile uyumlu olabilecek görüntü tespit edildi.TARTIŞMA: Ateşli silah yaralanmalarını çok iyi biliyor olmamıza rağmen kutlama atışı yaralanmaları biz nöroşirürjiyenler tarafından dahi çok az bilinmektedir. Bu yazının yazılma amacı temel bir fizik kuralı uyarınca havaya sıkılan bir merminin yerçekimine zıt yönde yükselip sıfır noktasına ulaştıktan sonra tekrar geri dönerek kafatasını penetre edebilecek kuvvete ulaşabileceği konusunda bilgi vermektir.
Anahtar Kelime: Hematom Ölümle sonuçlanma Kardiyopulmoner canlandırma Kadın Çocuk Yaralar, ateşli silah Beyin ölümü

Konular: Cerrahi

Kutlama atışı yaralanmaları

Öz:
Traditional shooting with guns often occurs and leads to unwanted gunshot injuries in areas where celebrations are held. Such injuries have been classified as celebratory gun shooting injury in the international disease classification system.CASE: An 8-year-old female patient presented with respiratory arrest. The heartbeats normalized upon cardiopulmonary resuscitation. On physical examination, the only pathological finding was a skin defect measuring 1x1 cm on the midline and located 2 cm in front of the coronal suture. Cranial CT revealed a bone defect of 0.5 cm in the area 2 cm in front of the coronal suture on the midline, tetraventricular and extensive subarachnoid hemorrhage and parenchymal hematoma in the frontal area. It was initially thought to be a gunshot injury; however, on cranial CT, no bullet fragments or bullet exit hole was observed. A cervicothoracal direct graph was obtained and an image that might have been compatible with a bullet core was detected at Th 2-3 vertebra level.CONCLUSION: Although gunshot injuries are generally well- known, this may not be a very familiar topic for neurosurgeons. The primary aim of this report is to emphasize that a bullet round randomly fired into the air ascends in reverse direction to gravity and after reaching a zero point, it returns to the ground at a high velocity that facilitates its penetration into the skull according to a principal physics law.
Anahtar Kelime: Female Child Wounds, Gunshot Brain Death Hematoma Fatal Outcome Cardiopulmonary Resuscitation

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA ÖZDEMİR M, ÜNLÜ A (2009). Gunshot injuries due to celebratory gun shootings. , 73 - 76.
Chicago ÖZDEMİR Mevci,ÜNLÜ Ağahan Gunshot injuries due to celebratory gun shootings. (2009): 73 - 76.
MLA ÖZDEMİR Mevci,ÜNLÜ Ağahan Gunshot injuries due to celebratory gun shootings. , 2009, ss.73 - 76.
AMA ÖZDEMİR M,ÜNLÜ A Gunshot injuries due to celebratory gun shootings. . 2009; 73 - 76.
Vancouver ÖZDEMİR M,ÜNLÜ A Gunshot injuries due to celebratory gun shootings. . 2009; 73 - 76.
IEEE ÖZDEMİR M,ÜNLÜ A "Gunshot injuries due to celebratory gun shootings." , ss.73 - 76, 2009.
ISNAD ÖZDEMİR, Mevci - ÜNLÜ, Ağahan. "Gunshot injuries due to celebratory gun shootings". (2009), 73-76.
APA ÖZDEMİR M, ÜNLÜ A (2009). Gunshot injuries due to celebratory gun shootings. Turkish Neurosurgery, 19(1), 73 - 76.
Chicago ÖZDEMİR Mevci,ÜNLÜ Ağahan Gunshot injuries due to celebratory gun shootings. Turkish Neurosurgery 19, no.1 (2009): 73 - 76.
MLA ÖZDEMİR Mevci,ÜNLÜ Ağahan Gunshot injuries due to celebratory gun shootings. Turkish Neurosurgery, vol.19, no.1, 2009, ss.73 - 76.
AMA ÖZDEMİR M,ÜNLÜ A Gunshot injuries due to celebratory gun shootings. Turkish Neurosurgery. 2009; 19(1): 73 - 76.
Vancouver ÖZDEMİR M,ÜNLÜ A Gunshot injuries due to celebratory gun shootings. Turkish Neurosurgery. 2009; 19(1): 73 - 76.
IEEE ÖZDEMİR M,ÜNLÜ A "Gunshot injuries due to celebratory gun shootings." Turkish Neurosurgery, 19, ss.73 - 76, 2009.
ISNAD ÖZDEMİR, Mevci - ÜNLÜ, Ağahan. "Gunshot injuries due to celebratory gun shootings". Turkish Neurosurgery 19/1 (2009), 73-76.