TORAKS TRAVMALARI: 6 YILLIK DENEYÝMLERÝMÝZ

Bu çalýþma, 1991-1997 yýllarý arasýnda, toraksa travmasý nedeniyle Ege Üniversitesi Týp Fakültesi Göðüs Kalp Damar Cerrahisi Anabilim Dalý'na acil olarak yatýrýlan 270 hastayý kapsamaktadýr. Retrospektif olarak incelenen olgular yaþ, cins, travma etkeni, eþlik eden organ yaralanmalarý, uygulanan tedavi yöntemi,morbitide ve mortalite açýsýndan araþtýrýlmýþtýr. Erkek/kadýn oraný 5.0, yaþ aralýðý ve ortalamasý sýrasýyla 19-68 ve34.8 olarak bulundu. Yaralanmalarýn! 85'i (%69) künt travma sonucu ortaya çýkmýþ olup etyolojide trafik kazalarý ilk sýrayý almaktaydý. Kayýtlara geçen 85(%31) penetre yaralanmadan 57si kesici-delici aletler tarafýndan oluþturulmuþtu. Yandaþ yaralanmalar arasýnda en sýk extremite fraktürleri, majör vasküler yaralanmalar ve batin yaralanmalarý izlendi. Olgularýn 37'sine (%14) torakotomi uygulanmasý gerekti ve bunlardan 19'u acil koþullarda opere edildi. Ortalama yatýþ süresi 8.7 gündü.Mortalite 6 olgu ile %2 oranýnda saptandý. Ateþli silah yaralanmalarýnýn morbiditeye ve yatýþ süresine etkisi istatistiksel olarak anlamlý bulundu (sýrasýyla p < 0.001 ve p < 0.05).

THORACIC TRAUMA: THE 6-YEAR EXPERIENCE

This trial comprises 270 cases of thoracic trauma urgently hospitalized at the Department of Thoracic and Cardiovascular Surgery of Ege University Medical Faculty, between 1991-1997. The cases were retrospectively assessed regarding age, sex, etiology of trauma, accompanying injury, treatment modality, morbidity and mortality. The male/female ratio was 5.0, while the age range and mean age were 19-68 and 34.8, respectively. 185 (69%) of the injuries were due to blunt thoracic trauma, and traffic accidents were the first-line in the etiology. Of the recorded 85 (31%) penetrating injuries, 57 were created with stabbing instruments. Among the associated injuries, extremity fractures, major vascular and abdominal injuries were encountered most frequently. Thoracotomy was required in 37 (14%) of the cases, and of these, 19 were operated under emergency conditions. The mean hospital stay was 8.7 days. The mortality rate was 2%, representing 6 patients, The effect of gunshot wounds to the morbidity and to the length of stay was determined to be statistically significant (p <0.001 and p < 0.05, respectively).