KARDÝYAK KONTÜZYON

Künt toraks travmalarýnda ikincil geliþen kardiyak kontüzyonlarýnýn doðru tanýsý için çok sayýda parametre mevcut olup bunlar arasýnda EKG bulgularý, EKO çalýþmalarý ve radyonükleid anjiografi sayýlabilir. Bu çalýþmada künt toraks travmalý hastalarda kardiyak kontüzyonun tespit edilmesi için CPK, CK-MB deðerleri ile EKG bulgularý araþtýrýlmýþtýr. Altý aylýk bir süre içinde hastanemiz acil týp kliniðine baþvuran 58 künt toraks travmalý hasta çalýþmaya dahil edildi. Baþvuran hastalarda künt kardiyak kontüzyo tanýsý için anormal EKG bulgularý ile CPK ve CK-MB seviyeleri araþtýrýldý. 43 hastada (%74.14) CPK ve CK-MB deðerleri yüksek bulunurken, 28 hastada (%48.26) anormal EKG bulgularý görüldü. Anormal EKG bulgularý olan hastalarýn tümünde CPK ve CK-MB deðerleri yüksek bulundu. Kardiyak kontüzyonun saptanmasýnda anormal EKG bulgularýnýn daha duyarlý olduðu saptandý (p=0.0000).

CARDIAC CONTUSION

In a blunt thorax trauma, seconder evolving of cardiac contusion; there are a lot of parameter for correct recognition. For example laboratory and ECG findings, ECHO studies, radionudeid angiography etc. In this study, patients of blunt thorax traumas for correct diagnosis of cardiac contusions, CPK, CK-MB levels with ECG findings are researched. In six months time 58 patients of blunt thorax trauma were brought to emergency department of our hospital by mobil paramedical system. ECG findings, CPK and CPK-MB levels were researched for cardiac contusion recognition in patients. The CPK and CK-MB levels were found high in 43 patients (%74.14) and ECG findings have seen abnormal in 28 patients (%48.26). CPK and CK-MB levels have found high, too, in the patients whose ECG findings have seen abnormal. It is more sensitive to use abnormal ECG findings than the increase of CPK and CK-MB levels for determinate the diagnosis of cardiac contusion in blunt thorax trauma. (P-0.0000).