Penetran Göğüs Travmalarına Bağlı Ölümler
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Dosyalar
Tarih
2000
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada, penetran göğüs yaralanmalarında ölüme etki eden faktörleri ve ölüm nedenlerini, demografik özellikleriyle değerlendirmek amaçlandı. Yöntem: 1 Ocak 1994-31 Aralık 1995 tarihleri arasında yapılan otopsiler arasından, ölümü penetran göğüs travması ile açıklanmış 604 olgu retrospektif olarak incelendi. Bulgular: Penetran yaralanmaların % 56.6’sı penetran göğüs travması idi. 20-40 yaşlarında, erkeklerde ve yaz aylarında daha sık görüldü. Penetran göğüs travmalarında en sık kullanılan alet % 48.8 ile ateşli silahlar idi. Orijin % 89.7 oranla cinayet olup en sık yaralanma göğüs bölgesi sol ön taraf idi. Genellikle multipl organ yaralanmalarıyla birlikte olup, sıklıkla yaralanan organlar göğüs içinde akciğerler ve kalp, subdiafragmatik alanda ise karaciğer ve böbrekler idi. Ölüm nedeni olarak, % 96.4 oranla kanama ilk sırada idi. Penetran Göğüs Travması ile birlikte ölüme etkili diğer adli ölümlerin oranı % 4.1 idi. Sonuç: Özellikle genç erkeklerde penetran göğüs travmalarının en sık mortalite nedeni olduğu, bu ölümlerin çoğunun ateşli silah ile meydana geldiği, yara sayısının tek olmasına rağmen sıklıkla sol ön göğüs lokalizasyonundan dolayı bu yaralanmaların öldürücü nitelik taşıdığı ve bu olguların büyük bir kısmında da acil cerrahi girişim yapılamadan öldüğü tespit edildi.
Objective: This study was performed in order to determine the demographic features of the factors affecting penetrating chest injuries leading to death. Methods: 604 cases with an autopsy regarded that they died of penetrating chest injury out of cases between 1 January 1994-31 December 1995 was evaluated retrospectively. Results: The percentage of the penetrating chest injuries between penetrating injuries was % 56.6. Among the penetrating chest injuries which were seen frequently in male, between ages 20-40 years and in summer. The penetrating chest injuries in which the aim was % 89.7 to commit murder, the most common form of injury was to the left side of the chest and that together with multiple organ injuries. The organs usually injured in the chest are the lungs and heart, in the abdomen the liver and kidneys. The commonest reason of death between penetrating chest injuries was blooding, with a percentage of % 96.4. The other factors confirmed a rate of % 4.1. Conclusion: The penetrating chest injury have the highest mortality rate in young males; usually gun shot wounds are the reason and despite of that the wound is single, this injuries are fatal because of the left anterior chest localization. It has been noted that most of the cases die before an emergency manipulation could be done.
Objective: This study was performed in order to determine the demographic features of the factors affecting penetrating chest injuries leading to death. Methods: 604 cases with an autopsy regarded that they died of penetrating chest injury out of cases between 1 January 1994-31 December 1995 was evaluated retrospectively. Results: The percentage of the penetrating chest injuries between penetrating injuries was % 56.6. Among the penetrating chest injuries which were seen frequently in male, between ages 20-40 years and in summer. The penetrating chest injuries in which the aim was % 89.7 to commit murder, the most common form of injury was to the left side of the chest and that together with multiple organ injuries. The organs usually injured in the chest are the lungs and heart, in the abdomen the liver and kidneys. The commonest reason of death between penetrating chest injuries was blooding, with a percentage of % 96.4. The other factors confirmed a rate of % 4.1. Conclusion: The penetrating chest injury have the highest mortality rate in young males; usually gun shot wounds are the reason and despite of that the wound is single, this injuries are fatal because of the left anterior chest localization. It has been noted that most of the cases die before an emergency manipulation could be done.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Penetran göğüs travmaları, penetran yaralanma, Otopsi, Penetrating chest injury, penetrating wounds, autopsy
Kaynak
Genel Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
2
Künye
Arıbaş, O. K., Günaydın, İ. G., Demirci, Ş., (2000). Penetran Göğüs Travmalarına Bağlı Ölümler. Genel Tıp Dergisi, 10(2), 63-69.
