TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients

Yıl 2018, Cilt: 8 Sayı: 3, 83 - 86, 16.09.2018

Halil İbrahim Serin Mustafa Fatih Erkoç

Öz

Amaç: Bu çalışmada amaç travmaya bağlı gelişen kot fraktürü ile hemopnömotoraks ilişkisinin saptanmasıdır.

Gereç ve yöntemler: Hastanemiz acil servisine 2014-2017 yılları arasında göğüs travmasıyla gelen ve kot

kırığı bulunan 280 hastanın toraks BT filmleri retrospektif olarak taranmıştır.

Bulgular: 130 hastada deplase(%46,4) 150 hastada nondeplase (%53,6) kot kırıkları saptandı. Deplase olanların

75 tanesinde (%57,6) travmatik pnömotoraks, 25 inde (%19,2) eşlik eden hemotraks vardı. Nondeplase

kırıkların 20 tanesinde (%13,3) pnömotoraks, 7 sinde (%4,) eşlik eden hemotoraks vardı. Geri kalanlarda

pnömotoraks hemotoraks izlenmedi. Tüm kırıkların 35’i (%12,5) alt torakal segmentte (9-12. Kotlar), 205’i

(%73,2) ise üst torakal segmentteydi (1-8. Kotlar). 40 hastada (%14,3) ise mix tip fraktürler izlendi. Üst torakal

yerleşimli olanların 100’ünde ( %79), alt torakal segmentte olanların 4’ünde ( %3) ve mixt tip olanların

23’ünde (%18) hemopnömotoraks saptandı.

Sonuç: Kot kırığının lokalizasyonu ve deplase-nondeplase olması eşlik eden olası hemopnömotoraks varlığı

ile ilişkilidir.

Anahtar Sözcu¨kler: Kot kırığı; Hemotoraks; Pnömotoraks; Toraks BT.

ABSTRACT

Objective: The purpose of this study is to determine the relationship between rib fracture and

haemopneumothorax due to trauma.

Materials and Methods: Thorax CT films of 280 patients who admitted to our emergency department

between 2014 and 2017 years with thoracic trauma and diagnosis of rib fracture were scanned

retrospectively.

Results: Displaced in 130 patients (46.4%) and nondisplaced (53.6%) rib fractures in 150 patients were

detected. Traumatic pneumothorax was present in 75 (57.6%) of the displaced patients, and hemotorax

was associated additionally with 25 (19, 2 %) patients. Pneumothorax was present in 20 (13.3%) of the

nondisplaced fractures and hemotorax was accompanied in 7 (4%) patients. Pneumothorax and/or

hemotorax were not observed in the rest of the group. Thirty-five (12.5%) of all fractures were in the lower

thoracic segment (9-12th ribs), and 205 (73.2%) were in the upper thoracic segment (1-8th ribs). Mixed

fractures were observed in 40 patients (14.3%). Haemopneumothorax was detected in 100 (79%) of the

upper thoracic segment located , in 4 (3%) of the lower thoracic segment located and 23 (18%) of the mixt

type.

Conclusion: Localization and the type (displaced-nondisplaced) of the rib fractures are associated with the

possible presence of haemopneumothorax.

Keywords: Rib fracture; Hemotorax; Pneumothorax; Thorax CT.

Anahtar Kelimeler

TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients

Kaynakça

• Halil İbrahim SERİN, Mustafa Fatih ERKOÇ [e-mail]