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TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients

Year 2018, Volume: 8 Issue: 3, 83 - 86, 16.09.2018

Abstract

Amaç: Bu çalışmada amaç travmaya bağlı gelişen kot fraktürü ile hemopnömotoraks ilişkisinin saptanmasıdır.
Gereç ve yöntemler: Hastanemiz acil servisine 2014-2017 yılları arasında göğüs travmasıyla gelen ve kot
kırığı bulunan 280 hastanın toraks BT filmleri retrospektif olarak taranmıştır.
Bulgular: 130 hastada deplase(%46,4) 150 hastada nondeplase (%53,6) kot kırıkları saptandı. Deplase olanların
75 tanesinde (%57,6) travmatik pnömotoraks, 25 inde (%19,2) eşlik eden hemotraks vardı. Nondeplase
kırıkların 20 tanesinde (%13,3) pnömotoraks, 7 sinde (%4,) eşlik eden hemotoraks vardı. Geri kalanlarda
pnömotoraks hemotoraks izlenmedi. Tüm kırıkların 35’i (%12,5) alt torakal segmentte (9-12. Kotlar), 205’i
(%73,2) ise üst torakal segmentteydi (1-8. Kotlar). 40 hastada (%14,3) ise mix tip fraktürler izlendi. Üst torakal
yerleşimli olanların 100’ünde ( %79), alt torakal segmentte olanların 4’ünde ( %3) ve mixt tip olanların
23’ünde (%18) hemopnömotoraks saptandı.
Sonuç: Kot kırığının lokalizasyonu ve deplase-nondeplase olması eşlik eden olası hemopnömotoraks varlığı
ile ilişkilidir.
Anahtar Sözcu¨kler: Kot kırığı; Hemotoraks; Pnömotoraks; Toraks BT.
ABSTRACT
Objective: The purpose of this study is to determine the relationship between rib fracture and
haemopneumothorax due to trauma.
Materials and Methods: Thorax CT films of 280 patients who admitted to our emergency department
between 2014 and 2017 years with thoracic trauma and diagnosis of rib fracture were scanned
retrospectively.
Results: Displaced in 130 patients (46.4%) and nondisplaced (53.6%) rib fractures in 150 patients were
detected. Traumatic pneumothorax was present in 75 (57.6%) of the displaced patients, and hemotorax
was associated additionally with 25 (19, 2 %) patients. Pneumothorax was present in 20 (13.3%) of the
nondisplaced fractures and hemotorax was accompanied in 7 (4%) patients. Pneumothorax and/or
hemotorax were not observed in the rest of the group. Thirty-five (12.5%) of all fractures were in the lower
thoracic segment (9-12th ribs), and 205 (73.2%) were in the upper thoracic segment (1-8th ribs). Mixed
fractures were observed in 40 patients (14.3%). Haemopneumothorax was detected in 100 (79%) of the
upper thoracic segment located , in 4 (3%) of the lower thoracic segment located and 23 (18%) of the mixt
type.
Conclusion: Localization and the type (displaced-nondisplaced) of the rib fractures are associated with the
possible presence of haemopneumothorax.
Keywords: Rib fracture; Hemotorax; Pneumothorax; Thorax CT.

References

  • Halil İbrahim SERİN, Mustafa Fatih ERKOÇ raddrhiserrin@gmail.com
Year 2018, Volume: 8 Issue: 3, 83 - 86, 16.09.2018

Abstract

References

  • Halil İbrahim SERİN, Mustafa Fatih ERKOÇ raddrhiserrin@gmail.com
There are 1 citations in total.

Details

Primary Language Turkish
Journal Section Original Research
Authors

Halil İbrahim Serin This is me

Mustafa Fatih Erkoç This is me

Publication Date September 16, 2018
Published in Issue Year 2018 Volume: 8 Issue: 3

Cite

APA Serin, H. İ., & Erkoç, M. F. (2018). TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients. Bozok Tıp Dergisi, 8(3), 83-86.
AMA Serin Hİ, Erkoç MF. TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients. Bozok Tıp Dergisi. September 2018;8(3):83-86.
Chicago Serin, Halil İbrahim, and Mustafa Fatih Erkoç. “TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients”. Bozok Tıp Dergisi 8, no. 3 (September 2018): 83-86.
EndNote Serin Hİ, Erkoç MF (September 1, 2018) TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients. Bozok Tıp Dergisi 8 3 83–86.
IEEE H. İ. Serin and M. F. Erkoç, “TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients”, Bozok Tıp Dergisi, vol. 8, no. 3, pp. 83–86, 2018.
ISNAD Serin, Halil İbrahim - Erkoç, Mustafa Fatih. “TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients”. Bozok Tıp Dergisi 8/3 (September 2018), 83-86.
JAMA Serin Hİ, Erkoç MF. TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients. Bozok Tıp Dergisi. 2018;8:83–86.
MLA Serin, Halil İbrahim and Mustafa Fatih Erkoç. “TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients”. Bozok Tıp Dergisi, vol. 8, no. 3, 2018, pp. 83-86.
Vancouver Serin Hİ, Erkoç MF. TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients. Bozok Tıp Dergisi. 2018;8(3):83-6.
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