PEDÝATRÝK KAFA TRAVMALARI

Kliniðimize 1990-1994 yýllarý arasýnda 1023 kafa travmalý olgu yatýrýlarak tedavi edilmiþtir. Bu çalýþmaya 426 pediatrik hasta alýnmýþtýr. Hastalar (0-1), (1-3), (3-7), (7-16) olmak üzere dört yaþ grubuna ayrýlmýþtýr. Klinik tablolarý Glasgow Koma Skalasýna (GKS) göre deðerlendirilmiþtir. Buna göre hastalar; Hafif Travma (GKS: 13-15), Orta Þiddette Travma (GKS: 9-12), Þiddetli Travma (GKS: 3-8) olmak üzere üç gruba ayrýlmýþtýr. Hastalarýn %83.3'ü hafif travmaya uðramýþlardýr. Direkt kraniografi ve Bilgisayarlý Beyin Tomografisine (BBT) göre en sýk karþýlaþýlan patoloji kafatasý kýrýðýdýr. 325 olgu konservatif olarak tedavi edilirken 101 olguya cerrahi giriþim uygulanmýþtýr. Hastalar tedavi sonrasýnda Glasgow Sonuç Skalasýna (GSS) göre deðerlendirilmiþlerdir. Tüm olgularýn, 355 (%83.3)'inde tam iyileþme saðlanýrken, 29 (%6.7)'u kaybedilmiþtir. Travma komplikasyonu olarak en fazla pnömosefalus, beyin omurilik sývýsý (BOS) fistülü, epilepsi ve enfeksiyona rastlanmýþtýr.

PEDIATRIC HEAD TRAUMAS

1023 patients with head trauma had been treated between the years 1990 and 1994 in our clinic. 426 pediatric patients were included in this study. These patients were divided into four groups; (0-1), (1-3), (3-7) and (7-16) according to their ages. The clinical assessment of head injury was defined as Glasgow Coma Scale (GCS) and 426 consecutive patients were divided into three groups; Mild Head Injury (GCS: 13-15), Moderate Head Injury (GCS: 9-12), Severe Head Injury (GKS: 3-8) when they were admitted. Of 83 percent of patients had mild head injury. The skull X-rays and computerized tomography were revealed the skull fracture as the most encountered lesion in the patients. Surgical intervention was performed to 101 patients while the rest was treated conservatively. The pediatric patients with head trauma were evaluated with Glasgow Outcome Scale (GOS) after the treatment has been completed. Good recovery was obtained in 355 patients while 29 died. Pneumocephalus, cerebro spinal fluid (CFK) leakage, epilepsy and the infection were the most encountered complications after head trauma.