PENETRE KARIN YARALANMALARI

1990-1993 yýllarý arasýnda, etyolojik faktörün, hastalýðýn seyrine olan etkilerini araþtýrmak için 126 penetre karýn yaralanmasý olgusunu inceledik. Olgularýn %73.8'i kesici-delici alet yaralanmasý, %26.2'si ateþli silah yaralanmasý idi. Ateþli silah yaralanmalarýnýn %63.7'sinde birden fazla organ yaralanmasý varken, kesici-delici alet yaralanmalarýnda %31.3 idi. %5.6 olguda periton salimdi ve %8.7 olguda organ patolojisi yoktu. En çok yaralanan organlar, karaciðer, kolon, ince barsaklardýr. Genel mortalitemiz %2.4 olup, ateþli silah yaralanmasýnda %9.1, kesici-delici alet yaralanmasýnda %0'dýr. Mortalitenin en büyük nedeni hipovolemidir. Ateþli silah yaralanmalarýnýn komplikasyon ve mortalitesinin daha yüksek olduðu, penetre karýn yaralanmalarýnda erken laparatominin komplikasyon ve mortaliteyi düþürdüðü sonucuna vardýk.

PENETRATING ABDOMINAL WOUNDS

Between 1990 and 1993, penetrating abdominal wound cases examined for investigating the effect of the etiological factors on progress of the disease. %73.8 of the cases were penetrating stab-wounds and %26.2 of the cases were gun-shot wounds. In % 63.7 of the gun-shot wound cases there was multiple organ injury. In other group this rate was %31.3. There was no peritoneal involvement in %5.6 of cases and in %8.7 of cases there was no organ pathology. Liver, colon and small intestine were the most injured organs. Overall mortality was %2.4. In gun-shot and stab-wounds mortality was %9.1 and %0 respectively. The most important reason of mortality was hypovolemia. Complication and mortality of gun shot wounds are higher and we have come to a conclusion that early laparatomy in penetrating abdominal wounds lead o decreased complications and mortality.