ABDOMINAL VASCULAR INJURIES FOLLOWING PENETRATING ABDOMINAL TRAUMA

One hundred sixty three cases, who were operated for penetrating abdominal trauma between January 1991 and August 1997 were reviewed. These cases were evaluated for the type of trauma, admisition blood pressure .unit of blood transfused and number of injured organs. Thirteen of them had major abdominal injury. Aort (38%) and vena cava inferior(23%) were most frequently injured vessels. Aortic injury had a mortality rate of 100%. Overall mortality rate was 38,5%. Median hospital stay was 13 days. 61,5% of patient operated on were a live, while 4 patients (%30,7) died during operation.

PENETRAN YARALANMALAR SONRASI ABDOMÝNAL DAMAR YARALANMALARI

Ocak 1991 ile Aðustos 1997 tarihleri arasýnda Taksim Devlet Hastanesi Acil Polikliniðine baþvuran batýna penetran yaralanmalý 163 hasta retrospektiv olarak incelendiler. Ýncelenen 163 penetran batýn yaralanma olgularý arasýnda 13'ünde laparotomide büyük damar yaralanmasý tesbit edildi. Travma þekli, baþvurma anýndaki kan basýncý, transfüzyon sayýsý ile yaralanan organlar yönünden deðerlendirildiler. Aorta (%38) ile Vena Cava inferior (%23) en sýk yaralanan damarlardýr. Aort yaralanmalarýnda % 100, genel olarak %38.5 mortalite tesbit edilmiþtir. Hastanede ortalama yatýþ süresi 13 gündür. Ameliyat edilen hastalar arasýnda yaþama oraný %61.5 olup, 4 hasta (% 30.7) peroperatifex olmuþtur.