GÖÐÜS TRAVMALARI: 987 OLGUNUN ANALÝZÝ

Ýzmir Göðüs Hastalýklarý ve Cerrahisi Eðitim Hastanesi, I.Göðüs Cerrahisi Kliniði'nde, 1988-1998 yýllarý arasýnda, göðüs travmasý nedeniyle yatarak tedavi gören 987 olguyu kapsayan bu çalýþmada, hastalar retrospektif olarak; yaþ, cins, travma etkeni, eþlik eden organ yaralanmasý, uygulanan tedavi, komplikasyon geliþimi ve mortalite açýsýndan incelendi. Yaralanmalarýn 710' u (%72) künt 277 si (%28) penetran travmaya baðlýydý. 402 (%41) olguya tüp torakostomi, 32 (%3) hastaya torakotomi, diðer 553 (9656) hastaya ise konservatif tedavi uygulandý. Tüm olgulardaki komplikasyon oraný %4.6 olarak bulunup, en sýk izleneni atelektazi idi. Mortalite 13 hasta ile %1.3 olarak saptandý. Morbidite ve mortalite oranlarý açýsýndan, künt ve penetre travmalýlar arasýnda, istatistiksel açýdan anlamlý fark yoktu (sýrasýyla p = 0.29 ve p = 0.10). Ortalama yatýþ süresi 9.6 ± 8.6 gün iken, travmasý künt olanlarda bu süre 10.01 ± 8.5, penetre olanlarda ise 8.4 ± 8.6gün olup, aradaki fark istatistiksel olarak anlamlýydý (p= 0.0068).

THORACIC TRAUMA: ANALYSIS OF 987 PATIENTS

In Ýzmir Chest Diseases and Thoracic Surgery Training Hospital, Department of 1st Thoracic Surgery, between 1988 and 1998, 987 patients who were treated for their chest trauma were retrospectively reviewed in regard to their age, sex, cause of trauma, associated organ injuries, treatment modality, complication rate and mortality. In 710 (72%) cases of chest injuries were related to blunt trauma and 277 (28%) patients sustained penetrating trauma. 402 (41 %) patients underwent tube thoracostomy only. While majority of patients (553 pts, 56%) were managed conservatively, only 32 (3%) underwent thoracotomy. Complication rate in our series was 4.6% and the most frequently atelectasis was seen. 13 patients died due to trauma related causes (mortality: 1.3 %). There was no difference between blunt and penetrating trauma patients in view of morbidity and mortality rates (p = 0.29 and p=0.10, respectively). Mean hospital stay among all patients was 9.6 ± 8.6 days. This period was 10.0 ± 8.5 days in blunt trauma group, and 8.4 ± 3.6 days in penetrating trauma group. However this difference has reached statistical significance at a p value of 0.0068.