KÜNT KARIN TRAVMALARININ 10 YILLIK RETROSPEKTÝF ANALÝZÝ

Kliniðimizde 1985-1995 yýllarý arasýnda künt karýn travmasý nedeni ile opere edilen 262 hastanýn kayýtlarý retrospektif olarak incelendi. Hastalarýn 218'i (%83.2) erkek, 44'ü (%16.8) kadýn idi. Hastalarýn %58.7'si 0-20 yaþ grubunda yer alýyordu. %54.0 sýklýk ile dalak en çok yaralanan organdý. En önemli künt karýn travmasý nedeni %51.1 sýklýk ile trafik kazalarý idi. Laparotomi endikasyonuna en sýk olarak klinik bulgular ve peritoneal lavaj ile karar verildi. Postoperatif komplikasyon oraný %23.8, mortalite oraný %9.1 (24 vaka) idi. Kaybedilen hastalarýn 20'sinde (%83.3) multisistem yaralanmasý, 4'ünde (%16.7) ise sadece batýn içi organ yaralanmasý vardý.

RETROSPECTIVE ANALYSIS OF BLUNT ABDOMINAL TRAUMAS FROM 1985 THROUGH 1995

In this study, records of 262 patients who were operated because of blunt abdominal trauma in Atatürk University Faculty of Medicine General Surgery Department between 1985 and 1995 were reviewed. Of these 262 patients, 218 (832%) were male, 44 (16.8%) were female, and 58.7% ws in the range between 0-20 years old. Spleen was the most injured organ with an incidence of 54.0. Major cause was traffic accident in 51.1%. The indications of laparotomy were mostly based on the clinical findings and peritoneal lavage. Postoperative complication rate was 23.8, and mortality rate was 9.1% (24 cases). Four (16.7%) of the fatalities had only one intraabdominal organ injury, and 20 (83.3%) had multysystem injury.