PENETRAN KALP YARALANMALI 34 OLGUNUN ANALÝZÝ

Hastanemiz genel cerrahi kliniklerinde 1989-1996 yýllarý arasýnda opere edilen penetre kalp yaralanmalý 34 olgu deðerlendirildi. Yaralanma nedeni 32 olguda kesici-delici alet, 2 olguda ateþli silah yaralanmasý idi. Klinik olarak grup 1 ve II'deki 11 hasta hýzlý resüsitasyonla birlikte hýzlý torakotomi yapýldý. Eks olan 2 olgumuz dýþýndaki tüm olgularýmýzda kalbe penetre tek yaralanma vardý. En çok sað ventrikül yaralanmasý ile karþýlaþýldý. Tüm olgular kardioraphie ile tamir edildi ve perikard açýk býrakýldý. Morbidite oranýmýz %22 mortalite oranýmýz % 6 olarak gerçekleþti. Yaralanmalarýn çoðunun kesici-delici alet ile olmasý, kompleks yaralanma oranýnýn düþük olmasý ve hastalarýn ülkemiz koþullarýna göre kýsa sayýlabilecek sürede acil servise ulaþtýrýlmalarý nedeniyle mortalitemizin düþük gerçekleþtiðine inanýyoruz.

PENETRATING HEART WOUNDS: AN ANALYSIS OF 34 CASES

34 cases, with penetrating wounds to the heart, who were operated in the general surgery clinics of our hospital during 1989 - 1996 were reevaluated. The cause of injury was stab wounds in 32 cases and gunshot wounds in 2 cases, immediate resusitation together with emergency thoracotomy was done to the eleven of the patients in group 1 and 11. In all cases (Except two cases who died) there were only one penetrating wound the heart. Right ventricular injury was the most frequent type. All cases were mended with suturing and pericards were left open. Our morbidity ratio was %22, mortality ratio was %6. We believe that our mortality is low because most of the injuries are caused by stab wounds, complicated injury ratio is low and that patients are taken the emergency services in shorter time in relation with our country's conditions.