ACÝL SERVÝSLERDE MULTÝPL TRAVMA SORUNU VE TRAVMA YOÐUN BAKIM ÜNÝTELERÝNÝN ÖNEMÝ

Acil Servislere baþvuran multipl travmalý hastalarýn teþhis ve tedavilerinde büyük zorluklar mevcuttur. Ýlk yardýmýn uzman hekimler tarafýndan yapýlamayýþý ve multipl travmalý hastalarýn takipleri hu zorluklarýn baþýnda gelmektedir. Çukurova Üniversitesi Týp Fakültesi Balcalý hastanesi büyük acil polikliniðine Ocak-1992-Ocak 1993 yýllarý arasýnda müracaat eden 17708 olgunun 1742'sini (%9.8 ) travmalý hastalar oluþturuyordu. Travmalý hastalarýn 909'u ( %52.2) büyük travma, 833'ü (%47.8) küçük travma þeklinde idi. Künt travma nedeniyle meydana gelen olgularýn oraný %71, penetran travmalý olgularýn oraný ise %29 idi. Büyük travmalý 312 olgu birkaç servis tarafýndan takip edilmesi gerektiðinden, acil gözlem ünitesine takip için yatýrýldý. Büyük travmalý olgularda en sýk görülen yaralanma bölgesi kafa ve ekstremitenin birlikte yaralandýðý olgular olup 392 (%47 ) hastada mevcut idi.

THE PROBLEM OF MULTIPLE TRAUMA PATIENTS IN EMERGENCY SERVICES AND THE IMPORTANCE OF AN INTENSIVE CARE UNIT

There are great difficulties in the diagnosis and treatment of polytraumatized patients. The first aid is usually not performed by specialized doctors, and the follow-up of multiple trauma patients is generally a crucial problem. During January 1992 and January 1993 17.708 cases were admitted to the Emergency unit of Çukurova University, Balcalý Hospital. 1742 (9.8%) of these cases were traumatized patients; 909 (52.2%) of whom suffered from major trauma, and 833 patients ( 47.8%) suffered from minor trauma. The trauma mechanism was blunt in 71%, and penetrating in 29%. 312 cases with major trauma were hospitalized at the emergency observation unit, since these had to be followed by several specialties. Upon major trauma cases, the most common was combined head and extremity trauma which was detected in 392 (47%) patients. As a result, wa can state that Balcalý Hospital needs a surgical intensive care unit for the care of polytraumatized patients.