KÜNT TORAKS TRAVMALI ÇOCUKLARDAKÝ TEDAVÝ SONUÇLARIMIZ

Son 5 yýl içerisinde 60 pediatrik olgu künt toraks travmasý (KTT) nedeniyle acil polikliniðimize müracaat ettirilmiþtir. Serimizde karþýlaþýlan yaralanma mekanizmalarýnýn sýklýk sýrasý þöyledir: Araç dýþý trafik kazasý (%55), araç içi trafik kazasý (%30), düþme (% 13) ve ezilmelidir (%2). En sýk karþýlaþýlan intratorasik yaralanmalar; pulmoner kontüzyon (%50), multipl yaralanmalar (%20), pnömotoraks (%7), hemotoraks (%7), ana bronþ rüptürü (%5), diafragma rüptürü (%5) ve izole kot fraktürüdür (%5). Ýlave sistem yaralanmasý olan olgularýn ortalama pediatrik travma skoru (PTS); izole KTT olgularýnýn ortalama PTS deðerinden daha küçüktür. Ayný þekilde hastanede kalýþ süresinde de, ilave sistem yaralanmalarý olan olgularda önemli artýþ görülmektedir. Hastalarýn % 10'u entübe edilerek yoðun bakým ünitesine yatýrýlmýþ ve ortalama 5.8 gün mekanik solunum desteði uygulanmýþtýr. KTT lý olgularýmýzdaki ortalama mortalite oraný %3 olarak saptanmýþtýr.

RESULTS OF BLUNT THORACIC TRAUMA MANAGEMENT IN CHILDREN

During last 5 years, 60 children were consecutively admitted to our emergency department with blunt chest trauma. The most common mechanisms of injury were motor vehicle crashes (%30), pedestrian injury (%55) and falling from a high level (% 13). The most common intrathoracic injuries were pulmonary contusion (%50), multiple injuries (%20), pneumothorax (%7) haemothorax (7%), main bronchus rupture (%5), diaphragmatic rupture (%5) and isolated rib fractures (%5). The mean pediatric trauma score (PTS) of the children who had additional system injuries were significantly worse than the children who had isolated blunt chest trauma. Associated system injuries resulted in increase in length of hospital stay, compared to children with isolated chest injuries. Ten percent of the children were entubated and admitted to the intensive care unit, where they stayed an average of 5.8 days. The overall mortality rate for children with thoracic injury is 3%.