Ateşli Silah Yaralanmasına Bağlı Kafa Travması Geçiren Hastaların Radyolojik Değerlendirilmesi

Year 2023, Volume: 20 Issue: 1, 1 - 6, 27.04.2023

Bahadır Duman , Saime Shermatova , Hasan Büyükaslan , Ferit Doğan , Mehmet Zeki Yılmaztekin

https://doi.org/10.35440/hutfd.1200998

Abstract

Amaç: Suriye’de 2011 tarihinde başlayan iç savaş, çok sayıda insanın ölümüne ve yaralanmasına neden olmuştur. Kafa yaralanmaları savaşta ve savaş dışı zamanlarda cerrahi acillerin en önemlilerindendir.
Materyal ve method: 2014-2015 yılları arasında Suriye savaşında kurşun ve şarapnel gibi ateşli silah yaralanmalarına bağlı kafa travması nedeniyle başvuran toplam 75 hasta (58 erkek 17 kadin) retrospektif olarak değerlendirildi. İncelemeye nörolojik ve radyolojik incelemeleri yapılmış hastalar dahil edildi.
Bulgular: Penetran ateşli silahla yaralı kafa travması nedeniyle hastanemize başvuran 75 hastadan 20’si (%26.67) ölmüştür. Beyin parankimal kanaması olanların ölüm oranı olmayanlara göre anlamlı düzeylerde bulunmuştur (p<0.001). Beyin ödemi olan hastaların ölüm oranı olmayanlara göre anlamlı düzeylerde bulunmuştur (p=0.003). Ayrıca ventriküler kanama ve subaraknoid kanaması olan hastalarda da ölüm oranı olmayanlara göre anlamlıya yakın düzeylerde yüksek bulunmuştur (ventriküler kanama için p=0.081, subaraknoid kanama için p=0.056).
Sonuç: İleriye yönelik olarak ateşli silahla yaralı kafa travmalı hastalarda ilk müdahalede, gereklilik halinde cerrahi acil girişime karar verilmesi aşamasında ve komplikasyonların yönetiminde gerekli verileri oluşturmaktır.

Keywords

Ateşli silah yaralanması, Kafa travması, BT görüntüleme

Supporting Institution

YOK

Radiologic Evaluation of Patients With Head Trauma Due to Gunshot Injuries

Abstract

Background: Civil war in Syria that started in 2011 has caused death and injuries of thousands of people. Head trauma is one of the most important surgical emergencies both in wartimes and out of wartimes.
Materials and methods: A total of 75 patients (58 males and 17 females) who presented with head trauma due to gunshot injuries such as bullet and shrapnel during the Syrian war between 2014 and 2015 were evaluated retrospectively. Patients who had neurological and radiological examinations were included in the study.
Results: Twenty (26.67%) of 75 patients admitted to our hospital due to head trauma with penetrating gunshot died. The mortality rate of patients with brain parenchymal hemorrhage was found to be significantly higher than those without (p<0.001). The mortality rate of patients with brain edema was found to be significantly higher than those without (p=0.003). In addition, the mortality rate in patients with ventricular hemorrhage and subarachnoid hemorrhage were found to be significantly higher than those without (p=0.081 for ventricular hemorrhage, p=0.056 for subarachnoid hemorrhage).
Conclusion: To create the necessary data for the first intervention in patients with gunshot injuries in the future, at the stage of deciding on surgical emergency intervention if necessary, and in the management of complications.

Keywords

Gunshot injury, head trauma, CT imaging

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