Nil SAYLAM, Bünyamin UYANIK, Mesut BUZ, Tunç BÜYÜKYILMAZ, Yasin DEMİR, Deniz ALGEDİK GÜRSOY

Terör Saldırısı Nedeniyle Ateşli Silah Yaralanmaları

Amaç: Çalışmamızda, terör saldırısı sonrası acil servise başvuran ateşli silahla yaralanma olgularının literatür eşliğinde retrospektif olarak değerlendirilmesi amaçlanmıştır.Gereç ve Yöntem: Çalışmada 01.01.2016-31.12.2016 tarihleri arasında Şırnak Devlet Hastanesi Acil Servise başvuran 114 terör vakası retrospektif olarak incelendi. Hastaların cinsiyeti, yaşı, vital bulguları, travma skorları, yaralanma yerleri, yaralanma sonucu oluşan patolojiler, tedavi yöntemleri ve mortalite oranları incelendi.Bulgular: Çalışmaya %84,2’si erkek olmak üzere 114 hasta dahil edildi. Hastaların yaş ortalaması 26,88 ± 11,08 idi. En sık yaralanma yeri alt ekstremite (%53,5) olarak tespit edildi. Mortalite oranı %15,78 (n=18) bulunurken, arrest olarak getirilen ve KPR uygulanan hastalarda (n=13) bu oran %100 idi. Ölen hasta grubunda en ölümcül yaralanma yerlerinin sol toraks (%44,5) ve batın sol alt kadran olduğu gözlendi (%16,7). Hastaların %26,31’ine cerrahi tedavi, %6,14’üne tüp torakostomi, %17,5’ine mekanik ventilasyon ve %21,05’ine kan transfüzyonu uygulandığı tespit edildi. Birden fazla bölgede yaralanma olması, total sağkalım üzerinde 60,045 kat risk oluşturduğu tespit edildi.Sonuç: Terör mağdurlarının çoğunluğunu erkeklerin oluşturduğu, sol toraks ve sol batın bölgelerindeki yaralanmalarda mortalite oranının daha yüksek olduğu ve hastaneye kardiyopulmoner arrest olarak getirilenlerde mortalite oranının %100 olduğu tespit edildi.

Anahtar Kelimeler:

terör, travma, acil servis, ateşli silah

Gunshot Injuries Due to Terror

Aims: In our study, it is aimed to evaluate retrospectively with literature the cases of gunshot injury cases who applied to the emergency department due to the terror attack.Materials and Methods: In this study, 114 terror cases admitted to the emergency department of Şırnak State Hospital between 01.01.2016 and 31.12.2016 were evaluated retrospectively. The gender, age, vital signs, trauma scores, injury sites, pathologies of the injuries, treatment methods and mortality rates were examined.Results: In the study 114 patients who 84.2% were male were included. The mean age of patients was 26.88 ± 11.08.The most common injury was the lower extremity (53.5%). The mortality rate was found to be 15.78% (n = 18), while this rate was 100% in patients who were brought into arrest and applied CPR (n = 13). The most fatal injuries were left thorax (44.5%) and left lower quadrant (16.7%) in the group of patients who died. It was detected 26.31% surgical treatment, 6.14% tube thoracostomy, 17.5% mechanical ventilation and 21.05% blood transfusion were applied to the patients. In more than one area injury was detected 60.045 times the risk of total survival.Conclusion: The majority of the victims of terrorism were men, the mortality rate was higher in the left thorax and left abdomen and the mortality rate was 100% as brought to the hospital as cardiopulmonary arrest.

Keywords:

Terror, trauma, emergency department, gunshot,

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