Our clinical approach to patients with renal trauma

Yıl 2019, Cilt: 12 Sayı: 2, 195 - 201, 30.08.2019

Serhan Çimen , Ayla Özaydoğdu Çimen

https://doi.org/10.26559/mersinsbd.456707

Öz

Objective: In this study, our clinical approach to
patients with renal trauma is evaluated. Method:
Retrospective analysis was made for the data of 182 patients who applied to and
were monitored and treated at Malatya Training and Research Hospital between
2014-2018 for isolated renal trauma. Demographic characteristics such as age
and gender, the ways of injury, vital findings at first diagnosis, treatment
method and complication data were collected for the patients. Grading of the
renal trauma was performed based on the organ injury scale of the American
Association for the Surgery of Trauma. Results: The mean age of the
patients diagnosed with renal trauma was found as 32.4 year (18-68 year). 151
of these patients (82.9%) were male and 31 (17.1%) of them were women. When the
ways of injury were examined, it was found that 55 (30.2%) patients had
penetrating injuries and 127 (69.8%) of them had blunt injuries. The
distribution of renal trauma according to the American Association for the
Surgery of Trauma organ injury scale was 64, 62, 41, 12 and 3 for Grade
1-2-3-4-5 injuries respectively. 170 patients underwent conservative treatment.
The average duration of hospital stay for the patients was found to be 7.08 (4-12) days. Conclusion:
Conservative treatment should be attempted primarily in all patients with renal
injury and hemodynamic stability.

Böbrek travması olan hastalarda klinik yaklaşımımız

Öz

Amaç: Bu çalışmamızda böbrek
travması olan hastalara klinik yaklaşımımız değerlendirildi. Yöntem: 2014-2018 yılları arasında
Malatya Eğitim ve Araştırma Hastanesi Acil Servisi’ne travma nedeniyle başvuran
hastalarda tespit edilen izole böbrek travması tanısı ile takip ve tedavi
edilen 182 hastanın verileri retrospektif olarak incelendi. Hastaların yaş,
cinsiyet gibi demografik özellikleri, yaralanma şekilleri, ilk tanı anındaki
vital bulguları, tedavi metotları ve gelişen komplikasyon verileri toplandı.
Böbrek travmasının derecelendirilmesi Amerikan Travma Cerrahi Birliği’nin organ
yaralanma şiddeti ölçeğine göre yapıldı. Bulgular:
Renal travma tanısı konulan hastaların yaş ortalaması 32,4 yıl (18-68 yıl) idi.
Bu hastaların 151’i (%82,9) erkek iken, 31’i (%17,1) kadındı. Yaralanma
şekilleri değerlendirildiğinde 55 (%30,2) hastada penetran yaralanma ve 127 (%
69,8) hastada künt yaralanma olduğu görüldü. Böbrek travmalarının Amerikan
Travma Cerrahi Birliği organ yaralanması skalasına göre dağılımının Grade
1-2-3-4-5 yaralanmalar için sırasıyla 64, 62, 41, 12 ve 3 olduğu tespit
edildi.  Hastaların 170’ inde konservatif
tedavi uygulandı. Hastaların ortalama hastanede kalış süresi 7,08 (4-12) gün
olarak bulundu. Sonuç: Böbrek
yaralanması olan ve hemodinamisi stabil olan hastaların hepsinde öncelikli
olarak konservatif tedavi yaklaşımı denenmelidir.

Anahtar Kelimeler

Böbrek, Travma, Nefrektomi, Konservatif Tedavi

Kaynakça

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