PENETRATING GUNSHOT WOUNDS OF THE ABDOMEN

From 1980 through 1994, 98 patients' records with penetrating gunshot wounds of the abdomen causing visseral or vascular injuries were reviewed retrospectively. There were 79 men (82.3%). The patients ages ranged from 2.5 to 80 years (average, 29 15,2 year). The most commonly injuried organs were the small bowel (58.3%), the colon (46.8%), the liver (21.8%), the diaphragma (15.6%) and the spleen (13.5%). One patient (1.0%) had vascular injury. There were one organ injury in 25 patients (24.0%), 2 organ injuries in 33 patients (31.6%), 3 organ injuries in 28patients (26.8%), 4 organ injuries in 7patients (6.7%) and 6 organ injuries in 1 patient (1.0%). The false-negative examinations rate 2%. The average hospitalization period was 14.5 10.4 day. Overall mortality rate was 16.6% (16 patients). The study suggest that penetrating gunshot wounds of the abdomen have a high cost unda high mortality and morbidity rate.

KARIN ÝÇÝ ORGANLARININ ATEÞLÝ SÝLAH YARALANMALARI

1980-1994 yýllarý arasýnda Atatürk Üniversitesi Týp Fakültesi Acil Servisi'ne baþvuran ve Genel Cerrahi AB.D. 'da yatýrýlarak tedavi gören karýn içi organ ateþli silah yaralanmasý olan 98 hastanýn kayýtlarý retrospektif olarak incelendi. Hastalarýn 79'u (%82.3) erkekti. En genç hasta 2.5 yasýnda, en yaþlý hasta 80 yaþýnda olup yaþ ortalamasý 29.3 15.2 yýl idi. Vakalarýn 25'inde (%24) tek organ, 33 vakada (%31,6) iki organ, 28 vakada (%26,8) üç organ, 7 vakada (%6,7) dört organ, 1 vakada (%0,96) altý organ yaralanmasý mevcuttu. Bir vakada (%0,96) herhangi bir organ yaralanmasý tespit edilmedi. Vakalarýn 56'sýnda (%58,3) ince barsak, 45'inde (%46,8) kolon, 21 vakada (%21,8) karaciðer, 21 vakada (%21,8) mide, 15 vakada (%15,6) diyafragma, 13 vakada (%15,5) dalak, 4 vakada (%4,1) pankreas, 3 vakada (%3,1) duodenum, 5 vakada (%5,2) böbrek ve 1 vakada (%1,0) safra kesesi yaralanmasý olmuþtu. Bir vakada V.Cava Ýnferior ve V.Porta yaralanmasý vardý. Onaltý vaka (%16,6) kaybedildi. Ortalama hospitalizasyon süresi 14.5 10.4 gündü. Vakalarýn %75'inde birden fazla organýn yaralandýðý %30 hastada ikinci operasyonun gerektiði görüldü ve %17 civarýnda mortalitesi ile ateþli silah yaralanmalarý tedavi maliyeti, mortalitesi ve morbiditesi yüksek bir travma gurubudur.