South Clin Ist Euras. 2004; 15(2): 73-75

EMERGENCY DEPARTMENT THORACOTOMIES IN LAST TWO YEARS

Selahattin Vural¹, Barýþ Tuzun¹, Nimet Süslü¹, Feyyaz Onuray¹, Murat Çað¹, Fazlý Cem Gezen¹, Orhan Þad¹
Dr. Lütfi Kýrdar Kartal Eðitim ve Araþtýrma Hastanesi 1.Genel Cerrahi Kliniði

We evaluated the mortality rate in emergency department thoracotomies performed in our emergency unit. We have retrospectively evaluated emergent department thoracotomies performed on 19 cases between January 2002 and January 2004. Demographic aspects, mechanisms of injuries, vital findings at admission, indications of emergency department thoracotomies, need for internal cardiac massage, injuries and surgical techniques and associated organ injuries were noted. Mortality rate was calculated. Mean age was 23.7 and female/male ratio was 9: 10. Eight (42,1%) cases were admitted for blunt trauma, II (57.8%) cases had penetrating injuries. Nine (47,3%) cases had vital findings at admission. Mortality was observed in 13 (68,4%) cases. Eight (72,7%) patients with penetrating injuries survived, mortality was seen in 3 (27,3%) cases. All of blunt traumas were died. As presented in the literature, our study concluded that emergency department thoracotomies might not be successful with blunt traumas as it is in penetrating injuries. We believe that resuscitation must be aggressively performed since an adequate triage system is not obtained to (he trauma patients in our country.

Keywords: CARDIAC TRAUMA, RESUSCITATION THORACOTOMY, BLUNT TRAUMA, PENETRATING TRAUMA, MORTALITY

---

SON ÝKÝ YIL ÝÇÝNDE ACÝL BÝRÝM TORAKOTOMÝLERÝMÝZ

Selahattin Vural¹, Barýþ Tuzun¹, Nimet Süslü¹, Feyyaz Onuray¹, Murat Çað¹, Fazlý Cem Gezen¹, Orhan Þad¹
Dr. Lütfi Kýrdar Kartal Eðitim ve Araþtýrma Hastanesi 1.Genel Cerrahi Kliniði

Bu çalýþmada travma nedeniyle uygulanan acil birim torakotomilerimizin baþarý oranlarýný inceledik. Ocak 2002-Ocak 2004 yýllarý arasýnda acil birim torakotomisi uygulanan 19 olguyu retrospektif olarak inceledik. Demografik özellikleri, yaralanma þekli, hastaneye geliþ anýndaki yaþamsal bulgularý, hangi endikasyon ile acil birim torakotomisi uygulandýðý, internal masaj gerekli olup olmadýðý ve internal masajýn baþarý oraný, yaralanmalar ve uygulanan cerrahi yöntemler ile eþlik eden organ yaralanmalarý incelendi. Mortalite oraný hesaplandý. Olgularýn yaþ ortalamasý 23.7 ve kadýn/erkek oraný: 9/10 idi. Olgularýn 8'i (%42,l) kunt travma, 11'i (%57,8) penetran yaralanma ile baþvurmuþtu. Olgularýn 9'unda(%47,3) geliþ anýnda yaþamsal bulgular mevcuttu. Mortalite 13 (%68,4) olguda geliþti. Penetran yaralanmalarýn 8'i (%72.7) halen yaþamakta olup, 3 (%27,3) olguda mortalite geliþti. Kunt yaralanmalarýn ise tümü kaybedildi. Çalýþmamýzdaki penetran yaralanmalardaki baþarý, literatürde olduðu gibi kunt travmalarda görülememiþtir. Ancak triaj sistemi henüz yeterli olmayan ülkemizde agresif resüsitasyon uygulamamýz gerektiðini düþünüyoruz.

Anahtar Kelimeler: KARDÝYAK YARALANMA, RESÜSÝTASYON TORAKOTOMÝSÝ, KUNT TRAVMA, PENETRAN TRAVMA, MORTALÝTE

---

CITE