Acil serviste spontan pnömomediastinum tanılı hastaların değerlendirilmesi

Year 2019, Volume: 44 Issue: 4, 1155 - 1159, 29.12.2019

Mehmet Çağrı Göktekin

https://doi.org/10.17826/cumj.508742

Cited By: 2

Abstract

Amaç: Bu çalışmanın amacı acil serviste spontan pnömomediastinum (SPM) tanısı alan hastaların retrospektif olarak değerlendirilmesidir. 

Gereç ve Yöntem: Tek merkezli retrospektif olarak planlanan çalışmamızda Ocak 2010 - Aralık 2017 tarihleri arasında acil serviste SPM tanısı alan hastaların verileri analiz edildi. Sekonder pnömomediastinum tanısı alan hastalar (travmatik, girişimsel işlem yâda cerrahi sonrası, enfeksiyonlar) çalışma dışı bırakıldı

Bulgular: SPM tanısı alan 31 hastanın yaş ortalaması 48.35±20.80/yıl olup  %74’ü (n=23) erkek idi. Erkeklerde SPM gelişimi anlamlı oranda fazla idi  En sık eşlik eden hastalık kronik obstruktif akciğer hastalığı idi. En sık semptom nefes darlığı idi. Hastaların % 61,29’u sigara kullanıcısıydı. Hastalığı en fazla tetikleyen faktör %32 oranında fiziksel efor idi. Hastaların %35.5’i sonbahar % 32.3’ü ilkbahar mevsiminde acil servise müracaat ettiği tespit edildi. Hamman's işareti hastaların %25.8’inde mevcuttu. Hastanede yatış süresi ortalama 5.61±5.57 iken acil serviste mortalite görülmedi.

Sonuç:  Acil serviste akut göğüs ağrısı ve nefes darlığı ile başvuran hastalarda ayırıcı tanı da SPM düşünülmelidir.

Keywords

Acil servis, Dispne, Spontan Pnömomediastinum

Evaluation of patients with spontaneous pneumomedıastınum in emergency department

Abstract

Purpose: The aim of this study was to retrospectively evaluate the patients with spontaneous pneumomediastinum (SPM) diagnosis in the emergency department

Materials and Methods: Data of the patients diagnosed by the SPM in the emergency department between January 2010 and December 2017 was analyzed in our study planned as monocenter and retrospective. The patients diagnosed by secondary pneumomediastinum (traumatic, invasive operation or postoperative, infections) were excluded from the study. 

Results: Mean age of 31 patients diagnosed by the SPM was 48.35±20.80/years and 74% of them (n=23) were male. The SPM development was significantly more in the males. The most accompanying disease was the chronic obstructive respiratory disease. The most frequent symptom was the shortness of breath. 61.29% of the patients were the smoker. The most disease triggering factor was the physical effort at the rate of 32%. It was determined that 35.5% of the patients were applied to the emergency department in the autumn and 32.3% of them in the spring. Hamman’s sign existed in 25.8% of the patients.  While the hospitalization period was mean 5.61±5.57, no mortality was seen in the emergency department. 

Conclusion:  The SPM should be considered as a differential diagnosis in the patients applied to the emergency department with acute chest pain and shortness of breath. 

Keywords

Dyspnea, Emergency department, Spontaneous Pneumomediastinum

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