Hatice DOĞAN, Banu Karakuş YILMAZ, Erdem ÇEVİK, Murat CARUS

Eyvah Hasta Morarmış

Giriş: Bu çalışmanın amacı künt toraks travmalı hasta sebebiyle travmatik asfiksi yönetimini gözden geçirmektir. Olgu sunumu: Kırk yedi yaşında erkek hasta acil servise çalışırken maruz kaldığı kaza sonrası göğüs ve karın ağrısı şikayeti ile getirildi. Fizik muayenede hastanın yüz, boyun ve gövdenin meme başı hizasının üst tarafı ile üst ekstremite 1/3 proksimali siyanotikti ve her iki gözde subkonjonktival hemoraji mevcuttu. Yatak başı ekokardiyografide perikardiyal efüzyon yoktu. Akciğer tomografisinde pnömomediastinum, sternum kırığı ve pulmoner kontüzyon mevcuttu. Hasta entübe edilerek yoğunbakımda takip edildi. Sonuç: Travmatik asfiksi künt torakoabdominal travma ile oluşan klinik bir durumdur ve hastalar iyi travma yönetimi ile daha düşük mortalite ve morbidite ile taburcu edilebilirler.

Anahtar Kelimeler:

Travmatik asfiksi, künt torakoabdominal travma, acil servis

Woe patient is purple

Aim: Our purpose in presenting this case is to review the management of traumatic asphyxia with blunt thoracic trauma patients. Case: A 47 year-old male patient due to accident at work were brought to the emergency department with chest and abdominal pain. On physical examination face, upper extremities, 1/3 of both the proximal and the body to the level of the nipple with cyanosis, subconjunctival hemorrhage in both eyes was seen. At bed side echocardiography it wasn"t seen pericardial effusion. At chest computed tomography there were pneumomediastenium, sternum fracture and pulmonary contusion. Patient was entubated and admitted to intensive care unit and followed. Conclusion: Traumatic asphyxia is a clinical condition caused by blunt thoracoabdominal trauma, and with good trauma management patients can be discharged with less mortality and morbidity.

Keywords:

Traumatic asphyxia, blunt thoracoabdominal trauma, emergency department,

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YazışmaAdresi / Address for Correspondence: Dr.Hatice Doğan Bağcılar Eğitim ve Araştırma Hastanesi Acil Kliniği İSTANBUL E-mail: haticetopcu2000@yahoo.com G eliş tarihi/Received on : 20.03.2014
Kabul tarihi/Accepted on: 30.04.2014