PENETRAN KALP YARALANMALARI

Travma,. Genç nüfus içindeki en önemli ölüm nedenlerindendir. Son yýllarda ilk yardým uygulamalarý ve hýzlý ulaþýmda kaydedilen geliþmeler nedeniyle, acil servislere yetiþtirilebilen penetre kalp yaralanmalý olgu sayýsý giderek artmaktadýr. Bu çalýþmada, penetre kalp yaralanmasý nedeniyle kliniðimizde cerrahi tedavi uygulanan olgular, retrospektif olarak deðerlendirilmiþtir. 1988 - 1999 yýllarý arasýnda, 12 penetre kardiyak yaralanma olgusu opere edildi. Sadece biri kadýn olan hastalarýn yaþ aralýðý ve yaþ ortalamasý, sýrasýyla 17-46 ve 28 5+9.4 olarak bulundu. Hemodinamik olarak stabil olan sekiz olguya preoperatif ekokardiyografi ile taný kondu, geri kalan dört olgu ise fizik bakýdan hemen sonra acil koþullarda öpere edildi. Tüm vakalarýn median strenotomi ile açýldýðý serimizde aperatif mortalite gözlenmedi. Bir olguda atrioventriküler blok geliþti. Postoperatif ekokardiyografi ile iki hastada, ikinci bir ameliyatý gerektiren, ventriküler septal defekt oluþtu.

PENETRATING CARDIAC INJURIES

Trauma is a major cause of death in young population. Penetrating trauma to the heart which delivered to the emergency rooms has seen increasing 4' in the last years, because of the improved first aid and rapid transport techniques. In this study, the results of surgically treated penetrating cardiac trauma at our department were evaluated retrospectively. Between 1988-1999, 12 cases of penetrating cardiac trauma were operated at our institution. The age range and the mean age were 17-46 and 28.5 + 9.4, respectively, in which there were only one female patient Eight patients who were stable hemodynamically diagnosed with preoperative transthoracic echocardiography, while remaining four underwent operation urgenty soon after physical examination. Median sternotomy was performed in all cases. There were no operative mortality. In one patient, atrioventricular block was occurred, and postoperative echocardiography revealed ventricular septal defect in two patients, which required a second operation.