Penetran Yaralanmalarda Organ Hasarı

Yıl 2020, Cilt: 17 Sayı: 1, 118 - 121, 29.04.2020

Levent Şahin Turgut Dolanbay Murat Aras

https://doi.org/10.35440/hutfd.662280

Öz

Amaç: Travma ve yaralanmaya bağlı hasarlar, acil servislere en sık başvuru nedenlerini oluşturur. Bu çalışmada amacımız Kafkas Üniversitesi Tıp Fakültesi Sağlık Araştırma ve Uygulama Hastanesi Acil Servisi’ne başvuran ateşli silah ve delici kesici alet yaralanmalı olguları incelemek, hangi organların ne şekilde yaralandığını, yaralanan organ hasarının morbidite ve mortalite üzerine etkilerini araştırmaktır.
Materyal ve Metod: Çalışmada 2017-2019 yılları arasında başvuran 73 vaka retrospektif olarak incelenmiştir. İstatistiksel analiz için Windows uyumlu bir IBM SPSS 20.0 paket programı kullanıldı. Sonuçlar ortalama ± standart sapma olarak ifade edildi.
Bulgular: Bu hastaların 68’i erkek, 5’i ise kadın hasta idi. Yaş ortalaması 33.85 olup, çoğunluğu genç hastaydı. 44 hastaya ilgili bölümler tarafınca konsültasyon istendi. Hastaların çoğu (n=39) saat 08:00-16:00 arasında acile giriş yaptı. Yaralanmanın türü ve hasar verdiği organdaki durumu hızlıca tespit edilip tedavi için ilgili branşa konsülte edilmelidir. Ateşli silah yaralanmalarına bağlı 6 hasta exitus olurken ,1 hasta da delici ve kesici alet yaralanmasına exitus olmuştur.
Sonuç: Bu çalışmalar, bireysel silahlanmanın sosyal sorununu çözmek için yeni stratejilerin geliştirilmesine katkıda bulunacaktır. Penetran yaralanmalarda yüksek mortalite oranı nedeniyle, hastalara hızlı bir şekilde teşhis konulmalı ve gerekli tedaviye derhal başlanmalıdır.

Anahtar kelimeler: Penetran yaralanmalar, Acil servis

Anahtar Kelimeler

: Penetrating injuries, , injury localization, , emergency department

Destekleyen Kurum

Kafkas Üniversitesi Tıp Fakültesi Acil AD

Proje Numarası

Etik Sayı: 80576354-050-99/237

Teşekkür

Paramedik Burak Alagöz'e katkılarından dolayı teşekkür ederiz.

Organ Damage In Penetrating Injuries

Öz

Background: Trauma and injuries are the most common reasons for presenting to emergency services. The aim of the present study was to comprehensively evaluate the injuries from gunshot and penetrating objects presented to the emergency department of Kafkas University Medical School Research Hospital along with the organ(s) effected and the degree of injury. It is crucial to determine the nature of the injury and the condition of the effected organ in order to refer the patients to the relevant branch for effective treatment.
Materials and Methods: In this study, a total of 73 cases who were admitted between the years of 2017-2019 were examined retrospectively. For statistical analysis, a Windows-compatible IBM SPSS 20.0 package program was used. Results are expressed as mean ± standard deviation.
Results: About 68 of them were male and 5 were female. The mean age was 33.85 and a majority of patients were comparatively young. Consultation was requested for about 44 patients. A large number of the cases (n = 39) reported to the emergency department between 08:00 to 16:00 hours. Six patients died due to gunshot wounds and one patient died due to sharp object-based injury.
Conclusions: These studies will contribute to the development of new strategies to solve the social problem of individual armament. Because of the high mortality rate in penetrating injuries, patients should be diagnosed quickly and the necessary treatment should be initiated immediately.

Key Words: Penetrating injuries, Emergency department

Anahtar Kelimeler

Penetrating injuries, emergency department

Proje Numarası

Etik Sayı: 80576354-050-99/237

Kaynakça

• Referans 1. Gad MA, Saber A, Farrag S, Shams ME, Ellabban GM. Incidence, patterns, and factors predicting mortality of abdominal injuries in trauma patients. North American journal of medical sciences. 2012;4(3):129. Referans 2. Dorlac WC, DeBakey ME, Holcomb JB, et al. Mortality from isolated civilian penetrating extremity injury. Journal of Trauma and Acute Care Surgery. 2005;59(1):217–222. Referans 3. Isenhour JL, Marx J. Advances in abdominal trauma. Emergency medicine clinics of North America. 2007;25(3):713–733. Referans 4. Aldemir M, Tacyildiz I, Girgin S. Predicting factors for mortality in the penetrating abdominal trauma. Acta Chirurgica Belgica. 2004;104(4):429–434. Referans 5. Durkin MS, Kuhn L, Davidson LL, Laraque D, Barlow B. Epidemiology and prevention of severe assault and gun injuries to children in an urban community. Journal of Trauma and Acute Care Surgery. 1996;41(4):667–673. Referans 6. Efron DT, Haider A, Chang D, Haut ER, Brooke B, Cornwell EE. Alarming surge in nonsurvivable urban trauma and the case for violence prevention. Archives of Surgery. 2006;141(8):800–805. Referans 7. Olaogun JG, Etonyeaku AC, Ige JT, Wuraola OK. Penetrating abdominal injuries in an emerging semi-urban teaching hospital. Journal of Emergency Practice and Trauma. 2019. Referans 8. Waheed A, Burns B. Penetrating Abdominal Trauma. In: StatPearls [Internet]. StatPearls Publishing; 2019. Referans 9. Macpherson AK, Schull MJ. Penetrating trauma in Ontario emergency departments: a population-based study. Canadian Journal of Emergency Medicine. 2007;9(1):16–20. Referans 10. Mitra B, Gocentas R, O’Reilly G, Cameron PA, Atkin C. Management of haemodynamically stable patients with abdominal stab wounds. Emergency Medicine Australasia. 2007;19(3):269–275. Referans 11. Kahramansoy N, Erkol H, Kurt F, Gürbüz N, Bozgeyik M, Kıyan A. Analysis of trauma patients in a rural hospital in Turkey. Turk J Trauma Emerg Surg. 2011;17(3):231–237. Referans 12. Çağlayan K, Çelik A, Ahmet BAL, Günerhan Y. Kars Devlet Hastanesi’nde ameliyat edilen batına penetran yaralanmalar. Journal of Experimental and Clinical Medicine. 2010;27(2):54–57. Referans 13. Sadjadi J, Cureton EL, Dozier KC, Kwan RO, Victorino GP. Expedited treatment of lower extremity gunshot wounds. Journal of the American College of Surgeons. 2009;209(6):740–745 Referans 14. Doody O, Given MF, Lyon SM. Extremities—indications and techniques for treatment of extremity vascular injuries. Injury. 2008;39(11):1295–1303. Referans 15. Jacob AO, Boseto F, Ollapallil J. Epidemic of stab injuries: an Alice Springs dilemma. ANZ journal of surgery. 2007;77(8):621–625. Referans 16. Wong K, Petchell J. Severe trauma caused by stabbing and firearms in metropolitan Sydney, New South Wales, Australia. ANZ journal of surgery. 2005;75(4):225–230.