Bomba Patlamasına Bağlı Travma Nedeni ile Vasküler Cerrahi Geçiren Yedi Olgu

Yıl 2018, Cilt: 8 Sayı: 1, 74 - 77, 12.04.2018

Ayşe Lafçı , Derya Gökçınar , Kevser Dilek Andıç Nermin Göğüş

https://doi.org/10.16899/gopctd.414735

Öz

Terörist saldırı sonucu travma geçiren
olgularda erken tanı, hasar kontrol cerrahisi
ve multidisipliner ekip çalışması önemlidir. Bomba patlaması sonucu
yaralanma nedeni
ile hastanemize getirilen
yedi hasta, hastane kayıtlarından retrospektif olarak incelendi. Vasküler
ameliyatlar gerektiren yedi hasta 22-56 yaşları arasında idi ve altı olgu erkek iken bir olgu kadın cinsiyette
idi. Üç hastada abdominal yaralanma da vardı. Hastalara kardiyovasküler cerrahi kliniği
hekimleri tarafından vasküler greft ile ya da primer damar onarımı
yapıldı, abdominal
yaralanması olan üç hastaya
laparatomi ile barsak onarımı yapıldı. Travma hastalarında bilgisayarlı tomografik anjiografi yöntemi ile vasküler patolojinin ortaya konması,
vakit kaybetmeden hasar
kontrol cerrahisi uygulanması, yoğun bakım sürecinde yakın takip ve sonrasında rehabilitasyon, multidisipliner ekip çalışması gerektirir.

Anahtar Kelimeler

Bomba patlaması, vasküler yaralanma, hasar kontrol cerrahisi

Seven cases undergone vascular surgery caused by bomb explosion

Öz

Early diagnosis, damage control surgery
and multidiciplinary team coordination is very essential in traumatic cases caused
by terrorist attacks.
Seven patient, admitted to our hospital, having injuries caused by bomb explosion were examined retrospectively from hospital
records. The patients
needed vascular
operations were between 22-56 years old, six of them were male while one of them was female. There were abdominal injuries in three patients. Vascular greft or primary
vein reparation were carried out on patients by cardiovascular surgery clinic operators. Intestine
reparations by laparatomy were carried
out in three patients having abdominal injuries.
In traumatic patients, vascular patology, by computerized tomographic angioraphy and damage control surgery should
be applied immediately. In addition,
a close follow up in intensive care stage and afterwards rehabilitory, multidiciplinary team coordination is indispensible.

Anahtar Kelimeler

Bomb explosion, vascular injury, damage control surgery

Kaynakça

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