Penetran kardiyak yaralanmalar: 21 olgunun değerlendirilmesi
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
AMAÇ Penetran kardiyak yaralanmalar, ciddi klinik sonuçları sebebiyle yüksek mortalite oranına sahiptir. Bu çalışmanın amacı, hastanemizde penetran kardiyak yaralanma nedeniyle cerrahi tedavi uygulanan hastaların araştırılmasıdır. GEREÇ VE YÖNTEM Bu yazıda, Şubat 2006 ve Ocak 2011 tarihleri arasında hastanemize penetran kalp yaralanması şikayeti ile başvuran 21 hasta (18 erkek, 3 kadın) geriye dönük olarak incelendi. Hastalar klinik bulgular, tedavi yöntemleri ve sonuçları açısından değerlendirildi. BULGULAR Olguların 19’u delici kesici alet, 2’si ateşli silah yaralanması şeklindeydi. Tüm olgulara acil cerrahi girişim uygulandı. Kardiyak yaralanma 13 olguda sağ ventrikül, 5 olguda sol ventrikül ve 3 olguda sağ atriyum yaralanmasını içeriyordu. Sol atriyum yaralanması gözlenmedi. Kardiyak yaralanmalar primer dikiş yöntemi ile onarıldı. Mortalite 6 olgu ile %28,6 olarak saptandı. SONUÇ Penetran kardiyak yaralanmalar genellikle genç yaş grubunda görülmektedir. Erken transport, uygun resüsitasyon ve acil cerrahi tedavi penetran kalp yaralanması olan hastaların hayatta kalma oranını artıracaktır.
BACKGROUND Penetrating cardiac injuries carry high mortality rates due to serious clinical outcomes. This study was planned to investigate patients treated surgically in our hospital for penetrating cardiac injury. METHODS In this article, we reviewed retrospectively 21 patients (18 male, 3 female) suffering from penetrating heart injuries who admitted to our hospital between February 2006 and January 2011. Patients were evaluated with respect to clinical findings, treatment methods and clinical outcomes. RESULTS Among the patients, 19 cases were due to stab injury and 2 cases to gunshot injury. Emergent surgical interventions were performed in all patients. Cardiac injuries involved the right ventricle in 13 patients, left ventricle in 5 patients and right atrium in 3 patients. There was no left atrial injury. Cardiac injuries were repaired by primary suturing method. Mortality was determined in 6 patients (28.6%). CONCLUSION Penetrating cardiac injuries are seen generally in young people. Early transport, proper resuscitation and emergent surgery treatment improved survival in patients who sustained penetrating cardiac injuries.
BACKGROUND Penetrating cardiac injuries carry high mortality rates due to serious clinical outcomes. This study was planned to investigate patients treated surgically in our hospital for penetrating cardiac injury. METHODS In this article, we reviewed retrospectively 21 patients (18 male, 3 female) suffering from penetrating heart injuries who admitted to our hospital between February 2006 and January 2011. Patients were evaluated with respect to clinical findings, treatment methods and clinical outcomes. RESULTS Among the patients, 19 cases were due to stab injury and 2 cases to gunshot injury. Emergent surgical interventions were performed in all patients. Cardiac injuries involved the right ventricle in 13 patients, left ventricle in 5 patients and right atrium in 3 patients. There was no left atrial injury. Cardiac injuries were repaired by primary suturing method. Mortality was determined in 6 patients (28.6%). CONCLUSION Penetrating cardiac injuries are seen generally in young people. Early transport, proper resuscitation and emergent surgery treatment improved survival in patients who sustained penetrating cardiac injuries.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Ulusal Travma ve Acil Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
18
Sayı
5
