APPROACH TO HEMATURIA IN PATIENTS WITH MULTITRAUMA

We investigated our approach to hematuria in 34 cases with hematuria and multitraumas who admitted to Emergency Department of our hospital between 1995-1997 retrospectively, supplemented by the review of the current literature. It was determined that there were macroscopic hematuria in 5 cases (gross hematuria in two cases), microscopic hematuria in 25 and urethroragia in 4. Reasons of hematuria were, f ailing from height in 17 cases, automobile accidents in 12 cases and gunshot injury in 4 cases. Surgical procedures were performed to only 3 (8.83%) of these cases. Ultrasonography, computerized tomography, intravenous pyelography and urethrography in 20, 6, 4 and 4 cases respectively, were used as a diagnostic imaging techniques. We advocate that one should be careful and patient while the hematuria was being evaluated.

TRAVMALI OLGULARDA HEMATÜRÝYE YAKLAÞIM

Bu çalýþmada 1995-1997 yýllarý arasýnda 34 hematüri bulgulu genel vücut travmalý olgu, hematüriye yaklaþým açýsýndan, literatür de gözden geçirilerek, retrospektif olarak irdelendi. Olgularýn 5'inde makroskopik (2'si gros hematürili), 25'inde mikroskopik hematüri ve 4'ünde üretroraji saptandý. Hematüriye sebep; 17 olguda yüksekten düþme, 12 olguda trafik kazasý ve 4 olguda ateþli silah yaralanmasý olarak belirlendi. Bu olgularýn sadece 3'ünde (%8.83) ürolojik cerrahi giriþim yapýldý. Taný aracý olarak 20 olguda ultrasonografý (US), 6 olguda bilgisayarlý tomografi (BT), 4 olguda intravenöz pyelografi (1VP) ve 4 olguda üretrografi kullanýldý. Hematüriye yaklaþýmda temkinli ve o ölçüde de sabýrlý olmak gerektiði sayýndayýz.