THE FACTORS AFFECTING POSTOPERATIVE MORTALITY IN BLUNT ABDOMINAL TRAUMA PATIENTS

In this study; the records of 130 patients whom were treated because of blunt abdominal trauma in Çukurova University Faculty of Medicine General Surgery Department between 1987 to 1993 were reviewed. The aim of study was defined the factors which were affecting postoperative mortality. Of these 130 patients, 110 were male, 20 were female, and mean age was 32 years. Major cause was traffic accidents in 80%. Spleen was the most injured organ in our study group. Mortality rate was 19.2% and major complication was developed in 26 (20%) patients. In conclusion, the presence of head trauma, hypotension (less than 90mmHg), multiple intraabdominal organ injuries, blood tranfusion more than 3 units were considered major factors affecting postoperative mortality.

KÜNT KARIN TRAVMALI OLGULARDA MORTALÝTEYE ETKÝLÝ FAKTÖRLER

Bu retrospektif çalýþma 1987-1993 yýllarý arasýnda Çukurova Üniversitesi Týp Fakültesi Genel Cerrahi Anabilim Dalýnda opere edilen 130 künt karýn travmalý olguda mortaliteye etkili faktörleri belirlemek amacýyla yapýldý. Olgularýn yaþ ortalamasý 32 olup, 110'u (%84.6) erkek, 20'si (%13.4) kadýndý. Künt travmanýn oluþunda trafik kazalarý birinci sýrayý almaktaydý. Travma sonucu en sýk yaralanan organ dalaktý. 25 (%19.2) olgu eksitus oldu. Olgularýn 26 (%20) 'sýnda postoperatif majör komplikasyon geliþti. Hipotansiyon (TA 'nýn 90mmHg 'nýn altýnda)'un olmasý, kafa travmasýnýn bulunmasý, iki ve/veya daha fazla karýn içi organ yaralanmasýnýn bulunmasý, 3 ünite veya daha fazla kan transfüzyonu yapýlmasýna gereksinim duyulmasý mortaliteye etkili faktörler olarak bulundu.