Blast etkiyle kafa travması gelişen olgularda eşlik eden travmalar mortaliteyi etkiler mi?

Abstract

Giriş/Amaçlar: Günümüz savaşlarında askerlerden çok siviller savaş mağduru olmaktadır. Savaşla ilgili ölümlerin çoğu sivillerde meydana gelmekte ve en çok etkilenenler ise çocuklar olmaktadır. Savaş alanındaki askeri yaralanmalar genellikle penetran olmakla birlikte, patlama etkisindeki künt travmalar da sivil yaralanmalarda sık görülmektedir. Bu çalışmada, savaşta patlamalı kafa travması geçiren çocuklarda torasik ve abdominal travma sıklığı incelenmiştir. Metod: Savaşta patlamalı kafa travması geçiren 25 pediatrik hasta retrospektif olarak incelendi. Bulgular: Hastaların 16'sı erkek, 9'u kadındı. Ortalama yaş 9,4±5,0 idi. Hastaların hepsinde kafa travması vardı. Travma tiplerine bakıldığında, %84,0'ında karma travma (kafa, göğüs, karın) ve %16,0'ında sadece kafa travması vardı. Kafa travması dışındaki travma durumları incelendiğinde, en sık görülen travma %60,0 ile akciğer kontüzyonu iken, bunu %32,0 ile serbest abdominal sıvı takip etti. Sonuç: Bomba etkisinden kaynaklanan patlama yaralanmaları, tüm vücudu etkileyen yüksek ölüm oranına sahip yaralanmalardır. Gelişme çağında, çocuklar savaş ve terörizmin odak noktasıdır ve bu da ölüm oranlarını artırır. Bu tür yaralanmalarda, yalnızca dış kesiklerin olduğu kısımlar değil, tüm vücut hasar açısından dikkatlice incelenmelidir

Keywords

• Blast travma
• Mortalite
• Çocuk

Do accompanying traumas affect mortality in cases of blast-induced head trauma?

Abstract

Background/Aims: Today's wars are more likely to be civilian war victims than soldiers. Most war-related deaths occur in civilians, and children are the most affected. While military injuries on the battlefield are generally penetrating, blunt traumas with blast effects are also common in civilian injuries. This study examined the frequency of thoracic and abdominal trauma in children who suffered blast head trauma in war Methods: 25 pediatric patients who suffered blast head trauma in war were retrospectively examined. Results: 16 of the patients were male and 9 were female. The mean age was 9.4±5.0. All patients had head trauma. In terms of trauma type, 84.0% had mixed trauma (head, chest, abdomen) and 16.0% had only head trauma. When we analyzed trauma conditions other than head trauma, pulmonary contusion was the most common trauma with 60.0%, followed by free abdominal fluid with 32.0%. Conclusions: Blast injuries due to bomb effects are injuries with high mortality rates that involve the entire body. In the developing age, children are the focal point of war and terrorism, which increases mortality rates. In such injuries, not only the parts with external lacerations but the entire body should be carefully examined for damage.

Keywords

• Blast trauma
• Mortality
• Children

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