KÜNT VE PENETRE TORAKS TRAVMALI 572 OLGUNUN DEÐERLENDÝRÝLMESÝ

Ocak 1997-Þubat 2000 tarihleri arasýnda Kartal Eðitim ve Araþtýrýna Hastanesi II. Genel Cerrahi Acil Polikliniðine baþvuran 2163 travmalý olgudan, 572 toraks travmalý olgu retrospektif olarak deðerlendirildi. 572 olgudan 501'i (%87.5) erkek, 71'i (%2.5) kadýn olup, yaþ aralýðý 2-84 arasýnda, yaþ ortalamasý 32.2 idi. Serimizdeki 337 (%59) olguda künt toraks travmasý, 235 (%41) olguda penetre toraks travmasý saptandý. Künt toraks travmalarýnda en sýk (%72) gözlenen etiolojik faktör trafik kazalarý iken, penetre toraks travmalarýnda ise delici-kesici alet yaralanmalarý en sýk (%82) etkendi. Olgularýn % 37.5'inde yandaþ travma saptandý. 332 (%58) olguda, tüp torakostomi, 185 olguda (%32.5) konservatif tedavi, 41 olguda (%7.1) torakotomi, 14 olguda (%2.4) mekanik ventilasyon uygulanmýþtýr. Morbidite % 6.8, mortalite % 3.3 olarak saptanmýþtýr. Toraks travmalý olgularda erken taný, uygun ve hýzlý tedavi sað kalýmý arttýrmaktadýr.

EVALUATION OF 572 CASES WITH BLUNT AND PENETRATING TRAUMA

We retrospectively evaluated 572 patients with thoracic trauma from total of 2163 trauma patients who admitted to 2nd General Surgery Emergency Service of Kartal Education and Research Hospital from January 1997 to February 2000. 501 of the patients (87.5%) were male and 71 (12.5%) were female. The range of ages 2-84 and mean age was 32.2. 337 (59%) patients had blunt and 235 (41%) had penetrating thoracic trauma. While traffic accidents (72%) were, determined as the most common aethiological factor for blunt thoracic trauma, penetrating and cutting instruments injuries (82%) were the most common factor for penetrating thoracic trauma. Accompanying trauma were observed in 37.5% of cases. 332 (58%) tube thoracostomy, 185 (32.5%) conservative treatment, 41 (7.1 %) thoracotomy 14 (2.4%) mechanical ventilation were carried out. The rates of mortality were 6.8% and of morbidity 113%. Early diagnosis and immediate appropriate treatment in thoracic trauma increases the survival.