Ulus Travma Acil Cerrahi Derg. 2001; 7(4): 262-266

MARMARA DEPREMÝ SONRASI ULUDAÐ ÜNÝVERSÝTESÝ TIP FAKÜLTESÝ HASTANESÝNE BAÞVURAN TRAVMALI OLGULARIN ANALÝZÝ

Mehtap Bulut¹, Gülay Turanoðlu¹, Erol Armaðan¹, Þule Akköse¹, Halil Özgüç¹, Rýfat Tokyay¹
ÝÜ Týp Fakültesi Ýlk ve Acil Yardým Ad

Bu çalýþmada Marmara depremi sonrasý Uludað Üniversitesi Týp Fakültesi hastanesine baþvuran depremzedelerden travmalý ve özellikle de crush sendromlu olgularýn týbbi analizini yapmak amaçlanmýþtýr. Hastanemize deprem nedeniyle toplam 645 olgu baþvurmuþtur. Bunlardan 330'u yatýrýlmýþtýr. Olgular tanýlarýna göre beþ gruba ayrýlmýþ (crush sendromu, vital organ yaralanmasý, pelvis veya vertebra kýrýðý, diðerleri, bilinmeyen) ve mortalite oranlarý saptanmýþtýr. Mortalite oraný en yüksek grup crush sendromudur (%21). Bunu; tanýsý bilinmeyen grup (%20) ve vital organ yaralanmasý (%20) izlemektedir. Tüm mortalite oraný ise %8'dir. Sonuç olarak deprem sonrasý görülen travmalý olgularda crush sendromu ve vital organ yaralanmasý yüksek morbidite ve mortalite ile seyrettiði görülmüþtür. Bu nedenle birçok kliniðin (Genel Cerrahi, Acil Týp, Ortopedi ve Travmatoloji, Plastik ve Rekonstrüktif Cerrahi, Nefroloji, Ýnfeksiyon Hastalýklarý gibi) birbirleriyle uyumlu bir iþbirliði içerisinde çalýþmalarý gerekmektedir.

Anahtar Kelimeler: DEPREM, TRAVMA, CRUSH SENDROMU, VÝTAL ORGAN YARALANMASI, MORTALÝTE

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THE ANALYSIS OF TRAUMATIZED PATIENTS WHO ADMITTED TO THE ULUDAÐ UNIVERSITY MEDICAL SCHOOL HOSPITAL AFTER THE MARMARA EARTHQUAKE

Mehtap Bulut¹, Gülay Turanoðlu¹, Erol Armaðan¹, Þule Akköse¹, Halil Özgüç¹, Rýfat Tokyay¹
ÝÜ Týp Fakültesi Ýlk ve Acil Yardým Ad

The aim of this study was to analyze the victims of the Marmara earthquake who injured, especially had the crush syndrome. Our hospital received a total of 645 victims after the earthquake and admitted 330. Victims were classified into five different groups according to their diagnosis (crush syndrome, vital organ injury, vertebral and pelvic injuries, others and unknown) and their mortality rates were determined. Mortality was highest (21%) in the crush syndrome group. Second and third highest mortality were in the unknown (20%) and vital organ injury (20%) groups. The overall mortality rate was 8 %. In conclusion the earthquake victims with crush syndrome and vital organ injury had the highest mortality and morbidity rates. Because of that so many departments (General Surgery, Emergency Medicine, Orthopedics Surgery, Plastic Surgery, Nephrology, Infection Disease etc.) had to be study in a great harmonious.

Keywords: EARTHQUAKE, TRAUMA, CRUSH SYNDROME, VITAL ORGAN INJURY, MORTALITY

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ATIF KOPYALA