Ulus Travma Acil Cerrahi Derg. 2009; 15(2): 141-147

Batman ve çevresinde yüksekten düþmeler

Behçet Al¹, Cuma Yýldýrým¹, Sacid Çoban^2
1Gaziantep Üniversitesi Týp Fakültesi Acil Týp Anabilim Dalý, Gaziantep
²Gaziantep Üniversitesi Týp Fakültesi Genel Cerrahi Anabilim Dalý, Gaziantep

AMAÇ: Yüksekten düþenlerin demografik bilgileri, mortalite oranlarý, düþme nedenleri ve ölüm sonrasý bulgularý deðerlendirildi. GEREÇ-YÖNTEM: Bu çalýþmaya, kaza sonucu yüksekten düþmeye maruz kalan 538 hasta alýndý. Olgular Batman’da yedi ay içerisinde prospektif olarak derlendi. BULGULAR: Ortalama yaþ 12,4±3,22 yýl (daðýlým 3 ay-98 yýl) idi. Hastalarýn %56,5’i altý yaþ altý, %83,5’i de 20 yaþýndan küçük idi. Ortalama düþme yüksekliði 3,2±2,4 m olarak saptandý. Mortalite oraný %2,2 bulundu. Mortalite oraný damdan düþenlerde en yüksek idi. En çok yaralanma kafada meydana gelmiþti ve ölenlerin tamamýnda (%100) kafa yaralanmasý vardý. Altý hasta karýn kanamasý nedeniyle, 141 hasta da ekstremite kýrýklarý nedeni ile takip edildi. Hastalarýn %6,7’si ameliyat edildi; %83,8’i acil serviste tedavi edildi. SONUÇ: Bu çalýþmanýn sonuçlarý literatür bilgileri arasýnda uyuþmazlýk yoktu. Yüksekten düþmeler en fazla 0-5 yaþ grubu olanlarda meydana gelmiþti. Kranyoserebral travma ölümcül düþmelerin en yaygýn yaralanmasý idi. Erkeklerde yüksekte düþme oranlarý kadýnlara göre daha yüksek bulundu.

Anahtar Kelimeler: Balkon, Batman; düþmeler; ev damý; kýrýk; yaralanma; ölüm; merdiven.

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Falls from heights in and around the city of Batman

Behçet Al¹, Cuma Yýldýrým¹, Sacid Çoban^2
1Department Of Emergency Medicine, Gaziantep University Faculty Of Medicine, Gaziantep, Turkey
²Department Of General Surgery, Gaziantep University Faculty Of Medicine, Gaziantep, Turkey

BACKGROUND: We evaluated the demographic data, mortality rates, fall causes, and post-mortem findings of individuals who fell from heights. METHODS: Five hundred thirty-eight patients who sustained injuries after an accidental fall from heights were entered into the study. Our cases were collected prospectively in Batman over a seven- month period. RESULTS: The mean age was 12.4±3.22 years (3 months-98 years); 56.5% of patients were under 6 years old and 83.5% were under 20 years old. The mean fall height was 3.2±2.4 m. The mortality rate was 2.2%, and was highest among the patients who fell from flat-roofed houses. The most common injuries were to the head, and 100% of those who died had a head injury. Six patients were followed because of abdominal bleeding and 141 patients due to extremity fractures; 6.7% of patients were operated on and 83.8% of patients were treated in the emergency department. CONCLUSION: The results of this study were at variance with literature data with respect to the following: falls from heights were most common in the 0-5 years of age group. Craniocerebral trauma is the most common injury in fatal falls. Males had a higher rate of falls from height than females.

Keywords: Balcony, Batman; falls; flat-roofed house; fracture; injury; mortality; stairs.

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