Ulus Travma Acil Cerrahi Derg. 2001; 7(1): 40-43

TRAVMATÝK KARIN ÝÇÝ BÜYÜK DAMAR YARALANMALARI

Ali Doðan Bozdað¹, Yasin Peker¹, Yusuf Kumkumoðu¹, Hayrullah Derici¹, Okay Nazlý¹, Çaðatay Gürkök¹
Ýzmir Atatürk Eðitim ve Araþtýrma Hastanesi III. Cerrahi Kliniði

Ýzmir Atatürk Eðitim ve Araþtýrma Hastanesi II. ve III. Cerrahi Kliniklerinde Ocak 1990-Aralýk 1999 tarihleri arasýnda opere edilen ve travmatik karýn içi büyük damar yaralanmasý saptanan 47 olgu retrospektif olarak incelendi. Çalýþmanýn amacý mortaliteyi etkileyen faktörler araþtýrmaktý. Baþvuru sýrasýnda hemoglobin düzeyi (p<0.05), hematokrit (p<0.05), Glasgow Kamu Skalasý (p=0.01), tansiyon arterial (p < 0.05), düzeltilmiþ travma skoru (p=0.01), süre (p=0.01) ve yaralanan yandaþ organ sayýsý (p < 0.05), mortaliteyi etkileyen faktörler olarak belirlendi. Mortalite oraný %46.8, morbidite oram %41 olarak saptandý.

Anahtar Kelimeler: DAMAR YARALANMALARI, DÜZELTÝLMÝÞ TRAVMA SKORU, VENA KAVA ÝNFERÝOR, ABDOMÝNAL AORTA

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TRAUMATIC INTRAABDOMINAL MAJOR VASCULAR INJURIES

Ali Doðan Bozdað¹, Yasin Peker¹, Yusuf Kumkumoðu¹, Hayrullah Derici¹, Okay Nazlý¹, Çaðatay Gürkök¹
Ýzmir Atatürk Eðitim ve Araþtýrma Hastanesi III. Cerrahi Kliniði

The records of 47 patients who underwent surgery with traumatic intraabdominal vascular injury at 2. and 3. Surgical Clinics of Ýzmir Atatürk Training and Research Hospital between January 1990 and December 1999 were studied. The aim of this study was to investigate the prognostic factors effecting the mortality. Hemoglobin (p<0.05), hematocrit (p<0.05), Glasgow Coma Score (p=0.01), blood pressure (p < 0.05), Revised Trauma Score (p=0.01), prehospital time (p=0.01) and associated organ injury (p< 0.05) were the significant factors effecting the mortality. Our overall mortality was 46.8 % and morbidity 41 %.

Keywords: VASCULAR INJURY, REVISED TRAUMA SCORE, VENA CAVA INFERIOR, AORTA ABDOMINALIS

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ATIF KOPYALA