TY  - JOUR
T1  - ANALYSIS OF PATIENTS WITH BLUNT THORAX TRAUMA AND RIB FRACTURE; EVALUATION OF 201 CASES
AU  - Dumanlı, Ahmet
AU  - Gencer, Adem
AU  - Kaya, Furkan
AU  - İnceoğlu, Canan
AU  - Öz, Gürhan
PY  - 2020
DA  - September
JF  - Turkish Journal of Health Science and Life
JO  - TJHSL
PB  - Mümin POLAT
WT  - DergiPark
SN  - 2687-2730
SP  - 1
EP  - 5
VL  - 3
IS  - 1
LA  - en
AB  - Introduction:Aim of this study is to evalute the association of rib fracture with pneumothorax, hemothorax,hemopneumothorax, lung contusion, subcutaneous emphysema, pneumomediastinum,sternum fracture and clavicula fracturein patients who admitted to our clinics with thorax traumaPatientsand Methods: Between January 2017 and October 2018,201 patients with thorax trauma and rib fracture who admitted to Afyon Health SciencesUniversity, Faculty of Medicine, Department of Thoracic Surgery and underwenttreatment and follow up were included in the study. Age, sex, computerized tomography (CT)findings and duration of hospitalization of the patients were retrospectivelyevaluated.Results:Of the 201 patients with rib fracture, 152 were male, 49 were female, mean agewas 51.46 and mean duration of hospitalization was 4 days. Total number of rib fracture was 716 and 430of the fractures were deplased and 286 were non-deplased. Also 346 of thefractures were in the mid segment ribs (5-8th ribs) , 224 of them were in thehigh segment (1-4th ribs) and 146 of the fractures were in the lower ribs(9-12th ribs). Of the patients with ribfracture, 57.7% had pneumothorax, 44.1% had lung contusion, 27.9% hadsubcutaneous emphysema, 27.4% had hemothorax, 18.4% had hemopneumothorax, 10.9%had sternum fracture, 9.5% had clavicula fracture and 4.5% hadpneumomediastinum.Discussionand conclusions: According to our study, traumatic rib fractures are mostcommonly in the deplased form and in the middle segment ribs (5-8th). Pathologiesaccompanying deplased rib fractures are more common than non-deplasedfractures. Each complication should be evaluted individually and should betreated by the required method.
KW  - Deplased
KW  - Rib fracture
KW  - Hemopneumothorax
KW  - Computerized thorax tomography
CR  - 1- Battistella FD,Benfield JR. Blunt and penetrating injuries of the chest wall, pleura and lungs. İn ShieldsTW. General Thoracic Surgery. Fifth ed. Philadelphia:2000; 815-63.
CR  - 2- Serin Hİ, Erkoç MF. Toraks travmalı Erişkin Hastalardaki Kot fraktürü ve Hemopnömotoraks Arasındaki Korelasyon. Bozok Tıp Derg 2018;(8)3:83-6
CR  - 3- Cangır AK, Nadir A, Akal M, et al. Toraks Travması: 532 Olgunun Analizi. Ulusal Travma Dergisi. Nisan 2000
CR  - 4- İmamoğlu OU, Öncel M, Ergynel T, et al. Approach to thorax trauma: Summary of 110 cases. TGKDCD 1999; 7:6, 450-3
CR  - 5- Hasbahçeci M, Özpek A, Başak F, Çalışkan M, Ener BK, Alimoğlu O. Künt toraks travmasında mortaliteye etki eden faktörler. Ulus Travma Acil Cerrahi Derg 2013;19 (2):127-32.
CR  - 6- Apilioğulları B, Esme H, Ceran S, Düzgün N. Retrospektive analysis of 48cases with thoracic trauma.  Anatol J Med Sci 2015;1(1):14-18 7- Yazkan R, Özpolat B. Göğüs Travmaları: 132 Olgunun Değerlendirilmesi. Bidder Tıp Bilimleri Dergisi 2010;2:15-20.
CR  - 8- Çakmak M, Akar E,Oruç M. Göğüs Travmalarında Cerrahi Yaklaşım: 36 olgunun değerlendirilmesi. Solunum Hast 2011;22 (3):94–6. 9- Öncel M, Akyol KG. Analysis of the 296 Cases Accepted Traumatic Hemothorax.  Ankara Üniversitesi Tıp Fakültesi Mecmuası 2010, 63(1). 10- Batırel HF, Yüksel M. P levral efüzyona yaklaşım: cerrahi perspektif . Toraks dergisi 2002:3(ek 6):10-6
CR  - 11- Çobanoğlu U, Yalçınkaya İ. Toraks yaralanmaları. Ulus Travma Acil Cerrahi Derg 2010;16 (1):77-83.
CR  - 12- Yazkan R. Pulmonary contusion in adult isolated chest injuries: Analysis of 73 cases. Bidder Tıp Bilimleri Dergisi, 2011 • Cilt 3 • Sayı: 3 • 9-15
CR  - 13- Altınok T. Akciğer Yaralanmaları. TTD Toraks Cerrahisi Bülteni 2010;1:55-9.
CR  - 14- Nakayama DK, Ramenofsky ML, Rowe MI. Chest injuries in childhood. Ann Surg 1989;210:770-5. 15- Mansour KA, Bongiorno PF. Blunt Trauma: Chest Wall, Lung, Pleura, Heart, Great Vessels, Thoracic Duct, and Esophagus. In: Pearson FG, Cooper JD, Deslauriers J, Ginsberg RJ, Patterson CA, Urschel HC, eds. Thoracic Surgery. Second ed. Churchill Livingsyone. 2002, p.1832-49. 16- Soysal Ö: Künt Toraks Travmaları. Yüksel M, Kalaycı NG. Göğüs Cerrahisi. 1. Baskı. İstanbul. Merajans Ltd. Şti. 2001, s. 447-64. 17- Sirmali M, Türüt H, Topçu S, et al. A comprehensive analy­sis of traumatic rib fractures: morbidity, mortality and management. Eur J Cardiothorac Surg 2003;24(1):133-8. 18- Toker A, Kalaycı G. Göğüs Anatomisi. Yüksel M, Kalaycı NG. Göğüs Cerrahisi. İstanbul, 2001:19-36 19- Jaiswal A, Tanwar YS, Habib M, Jain V. First rib fractures: not always a hallmark of severe trauma-a report of three cases.Chin J Traumatol 2013;16(4):251-3. 20- Şehitoğulları A, Kahraman A, Sayır F, Akın O, Sevilgen G, Çobanoğlu Ç. Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey. Eur J Gen Med 2013;10(2):69-73 21- Muz MH,Özer B. Pnömotoraks. Turkiye Klinikleri J Int Med Sci 2005;1(32):123-73.
UR  - https://dergipark.org.tr/tr/pub/tjhsl/issue//586812
L1  - https://dergipark.org.tr/tr/download/article-file/753057
ER  -