TRAVMATÝK DAMAR YARALANMALARI

Bu çalýþmanýn amacý, kliniðimizde tedavi edilen damar yaralanmasý olgularýnýn nedenleri, teþhis metodlarý, tedavisi ve sonuçlarýna ait verileri tartýþmaktýr. Yaklaþýk 45 aylýk dönemde kliniðimize 82 damar olgusu baþvurmuþ olup, bu olgulara ait veriler retrospektif olarak deðerlendirilmiþtir. Olgularýn 10 tanesinde sadece venöz yaralanma mevcuttu. Diðer olgularda ise arteriyel ve/veya venöz yaralanma tesbit edildi. Yaralanma nedenleri arasýnda ilk sýrayý (%47,5) kesici delici alet yaralanmasý almaktaydý. Tanýsal amaçlý giriþimlerden konvansiyonel anjiografi, sadece 10 olguda (%12) kullanýldý. Tedavide ise, 28 (%34) olguda otojen interpozisyonu, 22 (%27)olguda reanastomoz uygulandý. Olgularýmýzýn mortalite ve amputasyon oraný %8.5 idi. Damar yaralanmalarýnda,erken teþhis ile birlikte uygun tedavi hasta yaþamýnýn ve ilgili ekstremitenin fonksiyonlarýnýn korunmasý açýsýndan önemlidir. Yeterli taný imkanlarý olmayan merkezlerde bile, vasküler travma durumlarýnda birçok olguda ayrýntýlý taný teknikleri gereksinimi olmadan, uygun taný ve tedavi uygulanabileceði kanaatindeyiz.

TRAUMATIC VASCULAR INJURIES

The aim of this study is to discuss the data consisting of the causes, diagnostic methods and outcomes of the patients that we have hospitalized and treated. Through a 45 months of period the data of 82 cases with vascular injury were assessed retrospectively. Ten cases of these 82 cases had venous injuries only. The rest of the cases had arterial and/or venous injury of vascular system. The most frequent type of damages were cutting/penetrating machines(47,5%). Diagnostic conventional angiography was applied in only (12%).Treatment was autogenous vein interpositioning in 28 (34%) cases, reanastomosis in 21 cases (27%). The mortality and amputation rates were (8,5%). Immediate diagnosis and proper treatment were important in vascular injuries in order to protect the patient life and the related extremity functions. In conclusion, in some centers that haw limited facilities, proper diagnosis and treatment may be available, without a detailed assesment.