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<article  article-type="research-article"        dtd-version="1.4">
            <front>

                <journal-meta>
                                    <journal-id></journal-id>
            <journal-title-group>
                                                                                    <journal-title>Ankara Üniversitesi Tıp Fakültesi Mecmuası</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">0365-8104</issn>
                                        <issn pub-type="epub">1307-5608</issn>
                                                                                            <publisher>
                    <publisher-name>Ankara University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id/>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>General Surgery</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Genel Cerrahi</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Gittkçe Artan Bir Sorun; Dalak Rüptürler (70 vakanın incelenmesi)</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="en">
                                    <trans-title>An Increasing Problem: Spleen Ruptures (A Study of 70 Cases)</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                <name>
                                    <surname>Ceylan</surname>
                                    <given-names>İbrahim</given-names>
                                </name>
                                                                    <aff>ANKARA UNIVERSITY, ANKARA FACULTY OF MEDICINE</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="19750930">
                    <day>09</day>
                    <month>30</month>
                    <year>1975</year>
                </pub-date>
                                        <volume>28</volume>
                                        <issue>3-4</issue>
                                        <fpage>589</fpage>
                                        <lpage>602</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="19750701">
                        <day>07</day>
                        <month>01</month>
                        <year>1975</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="19750930">
                        <day>09</day>
                        <month>30</month>
                        <year>1975</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1947, Ankara Üniversitesi Tıp Fakültesi Mecmuası</copyright-statement>
                    <copyright-year>1947</copyright-year>
                    <copyright-holder>Ankara Üniversitesi Tıp Fakültesi Mecmuası</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Dalak rüptürleri* trafik kazalarının çoğalmasına paralel olarak çoğalmaktadır.1952 1975 yılları arasındaki 70 vakayı kapsayan bu seride yaş ortalaması 18,7 VII, 20 yaşına kadar olanların oranı totalin % 62&#039;sidir.Travma. etkeninin % 34 ü (1/3 ü) çeşitli trafik kazalarıdır; bu seride 4 spontan rüptür ve 3 ponksiyona bağlı yırtık vardır. Basit dalak yaralanmalarının oranı % 62, komplike olanların oranı % 38 dir. Buna karşılık mortaliteleri, sırasıyla, % 34 den % 43 e kadar yükselmiştir.Travmadan sonra geçen ilk 12 saat içinde mortalite % 33 35 olduğu halde 12 saatten sonra % 50&#039;ye yükselmektedir, 1952 1961 yıllar arasındaki mortalitemiz % 47,5, 1962  1975 arasndaki mortalitemiz % 10&#039;dur; total mortalite % 30&#039;dur.Küçük yaş* tedavide gecikme, yara etkeninin türü, rüptürün tipi ve kanamanın miktarı, prognogis&#039;e etkileyen önemli faktörlerdr.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="en">
                            <p>Spleen ruptures* are increasing in parallel with the increase in traffic accidents.In this series covering 70 cases between 1952 and 1975, the average age is 18.7 VII, the rate of those up to 20 years of age is 62% of the total.34% (1/3) of the trauma factor are various traffic accidents; in this series there are 4 spontaneous ruptures and 3 puncture-related tears. The rate of simple spleen injuries is 62%, the rate of complicated ones is 38%. On the other hand, their mortality increased from 34% to 43%, respectively.Mortality is 33-35% in the first 12 hours after trauma, but it increases to 50% after 12 hours,Our mortality between 1952-1961 was 47.5%, our mortality between 1962-1975 was 10%; total mortality is 30%.Young age* delay in treatment, type of wound agent, type of rupture and amount of bleeding are important factors affecting prognosis.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>dalak</kwd>
                                                    <kwd>  rüptür</kwd>
                                                    <kwd>  artış</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="en">
                                                    <kwd>spleen</kwd>
                                                    <kwd>  ruptures</kwd>
                                                    <kwd>  increas</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
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                    </back>
    </article>
