Suda Boğulma Tehlikesi Atlatan Hastalarda Etiyolojik Değerlendirme: Nadir Pulmoner Nedenler Eşliğinde Olgu Serisi

Year 2025, Volume: 4 Issue: 3, 82 - 87, 29.09.2025

Özgür Batum , Selen Subaşı , Merve Ayık Türk , Sibel Doruk , Nigar Dirican , Sami Deniz , Yelda Varol

https://doi.org/10.57221/izmirtip.1748204

Abstract

Amaç:
Suda boğulma, ölümle sonuçlanabilen ciddi bir halk sağlığı sorunudur. Boğulayazma ise bireyin suda boğulma tehlikesini atlatmasıdır. Bu çalışmada, yoğun bakım sonrası serviste izlenen 17 boğulayazma olgusu sunulmuş; özellikle nadir pulmoner nedenli iki vaka detaylı olarak incelenmiştir.
Gereç ve yöntem:
Mayıs 2024 – Eylül 2024 tarihleri arasında İzmir Şehir Hastanesi’nde izlenen 17 boğulayazma vakasının tümü yoğun bakım sonrası şifa ile taburcu edilmiştir. Olguların %64.7’si erkekti ve ortalama yaş 52.6 olarak bulundu. Vakaların %64.7’si entübe edilmeden, geri kalanlar ortalama 4.5 gün entübe şekilde izlenmiştir. Ortalama yoğun bakım süresi 4.8 gün, servis süresi 5.1 gündür. Hastaların %70’inde en az bir kronik hastalık, %11.7’sinde pulmoner hastalık öyküsü mevcuttu. Görüntülemelerde tüm olgularda bilateral infiltrasyon, %82.3’ünde sağ akciğerde belirgin tutulum saptandı. Pulmoner nedenler saptanan iki olgu detaylıca sunulmuştur.
Sonuç:
Suda boğulayazma olgularında yalnızca resüsitasyon değil, etiyolojik değerlendirme de hayat kurtarıcı olabilir. Pulmoner nedenler, özellikle genç hastalarda tanı konulamayan boğulma olaylarının nedeni olabilmektedir. Bu nedenle, kapsamlı klinik ve radyolojik değerlendirme büyük önem taşımaktadır.
Anahtar kelimeler: Suda boğulma, Boğulayazma, Pulmoner emboli, Uyku apne sendromu, Yoğun bakım.

Keywords

Suda boğulma , Boğulayazma , Pulmoner emboli , Uyku apne sendromu , Yoğun bakım.

Etiological Evaluation in Patients Nearly Drowning: A Case Series with Rare Pulmonary Causes

Abstract

Aim:
Drowning is a serious public health problem that can result in death. Near-drowning refers to the survival of an individual after a life-threatening submersion incident. This study presents 17 near-drowning cases monitored in the ward following intensive care, with a particular focus on two rare cases caused by pulmonary conditions.
Materials and methods:
All 17 near-drowning patients admitted to İzmir City Hospital between May and September 2024 were discharged in good health after intensive care follow-up. Of the cases, 64.7% were male, and the mean age was 52.6 years. While 64.7% of patients were never intubated, the remaining were intubated for an average of 4.5 days. The mean length of stay in the intensive care unit was 4.8 days, and the mean duration of ward follow-up was 5.1 days. At least one chronic disease was present in 70% of the patients, and a history of pulmonary disease was found in 11.7%. Bilateral pulmonary infiltrates were observed in all patients, with right-sided predominance in 82.3%. Two cases with identified pulmonary causes were evaluated in detail.
Conclusion:
In near-drowning cases, not only resuscitation but also etiological investigation can be life-saving. Pulmonary causes, particularly in young patients, may underlie unexplained drowning events. Therefore, comprehensive clinical and radiological evaluation is of great importance.
Pulmonary pathologies such as obstructive sleep apnea or pulmonary embolism may lead to drowning or near-drowning. Identifying the underlying cause in survivors is critical to prevent recurrence and improve long-term outcomes.
Keywords: Drowning Near-drowning Pulmonary embolism Sleep apnea syndrome Intensive care.

Keywords

Drowning , Near-drowning , Pulmonary embolism , Sleep apnea syndrome , Intensive care.

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