TORAKS TRAVMALI HASTALARDA YANDAŞ TRAVMALAR: MORTALİTE VE MORBİDİTE ÜZERİNE ETKİLERİ

Year 2019, Volume: 2 Issue: 3, 78 - 84, 01.09.2019

Yasemin Büyükkarabacak Ayşen Taslak Şengül Selçuk Gürz Mehmet Gökhan Pirzirenli Ahmet Başoğlu

Abstract

Toraks travmalı hastalar, yandaş travmalar nedeniyle, multidisipliner olarak değerlendirilmelidir. Toraks travmalarına sırasıyla en sık, ekstremite fraktürleri kranial travmalar, abdominal travmalar ve spinal fraktürleri eşlik eder. Toraks travmalarında genel mortalite %9 olarak bildirilirken, yandaş bir sistem yaralanması varsa %13-15, daha fazla sistem yaralanması olduğunda ise bu oranın %30-35’e kadar çıkar. Bu çalışmada toraks travmalı hastalarda, eşlik eden travmaların mortalite morbidite üzerindeki etkileri klinik tecrübelerimiz ve literatür bilgileri eşliğinde değerlendirilmiştir.

Keywords

Toraks travması, Yandaş travma, Mortalite, Morbidite

Associated Traumas in Thoracic Trauma Patients: Their Effects on Mortality and Morbidity

Abstract

Patients with thoracic trauma should be evaluated as multidisciplinary because of the accompanying
traumas. Cranial traumas, abdominal trauma and spinal fractures are most frequently accompanied to thoracic
trauma. Overall mortality is reported as 9% in thoracic trauma. If there is a system injury, this ratio is 13-15% and 30-
35% in case of more system injury. In this study, we evaluated that the effects of accompanied traumas on mortality
morbidity in thoracic trauma patients with literature and clinical experience.

Keywords

Thoracic trauma, Accompanied trauma, Mortality, Morbidity

References

• Afacan MA, Büyükcam F, Çavuş UY, Kesim A, Çevik M, Yılmaz MS, Köroğlu DB, Karakılıç ME, Sırmalı M. 2012. Acil servise başvuran künt toraks travma vakalarının incelenmesi. Kocatepe Med J, 13: 19-25.
• Akıncı İÖ, Eker A, Erdem T, Yıldırım A, Sencer A, Esen F, Çakar N. 2006. Nörojenik pulmoner ödem: Gözleme dayalı prospektif bir çalışma. Ulus Travma Derg, 12(1): 22-25.
• Asensio JA, Arroyo H Jr, Veloz W, Forno W, Gambaro E, Roldan GA, Murray J, Velmahos G, Demetriades D. 2002. Penetrating thoracoabdominal injuries: ongoing dilemma-which cavity and when? World J Surg, 26: 539-543.
• Başoğlu A, Akdağ AO, Çelik B, Demircan S. 2004. Göğüs travmaları: 521 olgunun değerlendirilmesi. Ulus Travma Acil Cerrahi Derg, 10: 42-46.
• Bhandari M, Tornetta P III, Sprague S. 2003. Predictors of reoperation following operative management of fractures of the tibial shaft. J Orthop Trauma, 17: 353–361.
• Brasure M, Lamberty GJ, Sayer NA, Nelson NW, Macdonald R, Ouellette J. 2013. Participation after multidisciplinary rehabilitation for moderate to severe traumatic brain ınjury in adults: A systematic review. Arch Phys Med Rehabil, pii: S0003-9993(13)00011-7.
• Furák J, Athanassiadi K. 2019. Diaphragm and transdiaphragmatic injuries. J Thorac Dis, 11(2): 152-157.
• Kaynak K. 2004. Kafa Travmalı olgularda torasik yaralanmalar. İ.Ü Cerrahpaşa tıp Fakültesi sürekli tıp eğitim etkinlikleri 39. Nörotravma Sempozyumu. 6-7 Mayıs 2004.
• Koto MZ, Matsevych OY, Nsakala L. 2019. Evaluation of thoracoscopy with single-lumen endotracheal tube intubation and laparoscopy in the diagnosis of occult diaphragmatic ınjuries in penetrating thoracoabdominal trauma. J Laparoendosc Adv Surg Tech A, doi: 10.1089/lap.2018.0733.
• Malherbe GF, Navsaria PH, Nicol AJ, Edu S, Chowdhury S. 2017. Laparoscopy or clinical follow-up to detect occult diaphragm injuries following left-sided thoracoabdominal stab wounds: A pilot randomized controlled trial. S Afr J Surg, 55(4): 20-25.
• Martins Filho EL, Mazepa MM, Guetter CR, Pimentel SK. 2018. The role of computerized tomography in penetrating abdominal trauma. Rev Col Bras Cir, 45(1): e1348.
• Özçelik C, Balcı AE, Eren Ş, Ülkü R, Doblan M, Eren MN. 2000. Toraks travmaları: 10 yıllık deneyim. Ulusal Travma Derg, 6: 44-49.
• Patel VI, Thadepalli H, Patel PV, Mandal AK. 2004. Thoracoabdominal injuries in the elderly: 25 years of experience. J Natl Med Assoc, 96: 1553-1557.
• Pereira EA, Green AL, Chandran H, Joshi SM, Shlugman D, Cudlip SA. 2009. Disseminated intravascular coagulation after isolated mild head injury. Acta Neurochir (Wien), 151(11): 1521-1524.
• Recknagel S, Bindl R, Kurz J, Wehner T, Ehrnthaller C, Knöferl MW, Gebhard F, Huber-Lang M, Claes L, Ignatius A. 2011. Experimental blunt chest trauma impairs fracture healing in rats. J Orthop Res, 29(5): 734-739.
• Reiter GT, Wyler AR. 2011. Vertebral fracture treatment & management (http://emedicine.medscape.com/article/248236-treatment) (erişim tarihi: 7 Nisan 2019).
• Reikeras O, Shegarfi H, Wang JE. 2005. Lipopolysaccharide impairs fracture healing: an experimental study in rats. Acta Orthop, 76: 749–753.
• URL1: eMedicine Specialties. Pulmonary Edema, Neurogenic. Available from: www.emedicine.com/med/topic 1957, (erişim tarihi: 7 Nisan 2019).