Abstract
Terörist saldırı sonucu travma geçiren
olgularda erken tanı, hasar kontrol cerrahisi
ve multidisipliner ekip çalışması önemlidir. Bomba patlaması sonucu
yaralanma nedeni
ile hastanemize getirilen
yedi hasta, hastane kayıtlarından retrospektif olarak incelendi. Vasküler
ameliyatlar gerektiren yedi hasta 22-56 yaşları arasında idi ve altı olgu erkek iken bir olgu kadın cinsiyette
idi. Üç hastada abdominal yaralanma da vardı. Hastalara kardiyovasküler cerrahi kliniği
hekimleri tarafından vasküler greft ile ya da primer damar onarımı
yapıldı, abdominal
yaralanması olan üç hastaya
laparatomi ile barsak onarımı yapıldı. Travma hastalarında bilgisayarlı tomografik anjiografi yöntemi ile vasküler patolojinin ortaya konması,
vakit kaybetmeden hasar
kontrol cerrahisi uygulanması, yoğun bakım sürecinde yakın takip ve sonrasında rehabilitasyon, multidisipliner ekip çalışması gerektirir.
References
- [1] - Heldenberg E, Givon A, Simon D, Bass A, Almogy G, Peleg K. Terror attacks increase the risk of vascular injuries. Front Public Health 2014; 47:S1-5.
- [2] - Traumabase Group. Paris terrorist attack: early lessons from the intensivists. Critical Care 2016 20: 88.
- [3] - Blackbourne LH. Combat damage control surgery. Crit Care Med. 2008;36 (7 Suppl):304-10.
- [4] - Eikermann M, Velmahos G, Abbara S, et al. Case records of the Massachusetts General Hospital. Case 11-2014. A man with traumatic injuries after a bomb explosion at the Boston Marathon. N Engl J Med. 2014;370:1441-51.
- [5] - King DR, van der Wilden G, Kragh JF Jr, Blackbourne LH. Forward assessment of 79 prehospital battlefield tourniquets used in the current war. J Spec Oper Med 2012;12: 33-8.
- [6] - Richey SL. Tourniquets for the controlof traumatic hemorrhage: a review of the literature. World J Emerg Surg 2007; 2:28:S1-10.
- [7]- Hess JR, Thomas MJ. Blood use in war and disaster: lessons from the past century. Transfusion 2003; 43:1622–33.
- [8] - Tieu BH, Holcomb JB, Schreiber MA. Coagulopathy: its pathophysiology and treatment in the injured patient. World J Surg 2007; 31:1055–64.
- [9] - Cantle PM, Cotton BA. Balanced Resuscitation in Trauma Management. Surg Clin North Am. 2017 ; 97: 999-1014.
- [10] - Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA 2015; 313: 471–82.
Abstract
Early diagnosis, damage control surgery
and multidiciplinary team coordination is very essential in traumatic cases caused
by terrorist attacks.
Seven patient, admitted to our hospital, having injuries caused by bomb explosion were examined retrospectively from hospital
records. The patients
needed vascular
operations were between 22-56 years old, six of them were male while one of them was female. There were abdominal injuries in three patients. Vascular greft or primary
vein reparation were carried out on patients by cardiovascular surgery clinic operators. Intestine
reparations by laparatomy were carried
out in three patients having abdominal injuries.
In traumatic patients, vascular patology, by computerized tomographic angioraphy and damage control surgery should
be applied immediately. In addition,
a close follow up in intensive care stage and afterwards rehabilitory, multidiciplinary team coordination is indispensible.
References
- [1] - Heldenberg E, Givon A, Simon D, Bass A, Almogy G, Peleg K. Terror attacks increase the risk of vascular injuries. Front Public Health 2014; 47:S1-5.
- [2] - Traumabase Group. Paris terrorist attack: early lessons from the intensivists. Critical Care 2016 20: 88.
- [3] - Blackbourne LH. Combat damage control surgery. Crit Care Med. 2008;36 (7 Suppl):304-10.
- [4] - Eikermann M, Velmahos G, Abbara S, et al. Case records of the Massachusetts General Hospital. Case 11-2014. A man with traumatic injuries after a bomb explosion at the Boston Marathon. N Engl J Med. 2014;370:1441-51.
- [5] - King DR, van der Wilden G, Kragh JF Jr, Blackbourne LH. Forward assessment of 79 prehospital battlefield tourniquets used in the current war. J Spec Oper Med 2012;12: 33-8.
- [6] - Richey SL. Tourniquets for the controlof traumatic hemorrhage: a review of the literature. World J Emerg Surg 2007; 2:28:S1-10.
- [7]- Hess JR, Thomas MJ. Blood use in war and disaster: lessons from the past century. Transfusion 2003; 43:1622–33.
- [8] - Tieu BH, Holcomb JB, Schreiber MA. Coagulopathy: its pathophysiology and treatment in the injured patient. World J Surg 2007; 31:1055–64.
- [9] - Cantle PM, Cotton BA. Balanced Resuscitation in Trauma Management. Surg Clin North Am. 2017 ; 97: 999-1014.
- [10] - Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA 2015; 313: 471–82.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 12, 2018 |
| Acceptance Date | November 30, 2017 |
| Published in Issue | Year 2018 Volume: 8 Issue: 1 |