Burak DEMİRCİ, Çilem ÇALTILI, Abuzer COŞKUN

Ortaokul ve lise çağı genital travmalarında ihmal edilen bir tedavi: ağrı skorlaması ile analjezi yönetimi

Amaç: Ortaokul ve lise çağının küçük bir kısmını oluşturan genital travma olgularında, sayısal ve sözel ağrı skoru eşliğindeki analjezik uygulamalarının, radyolojik görüntülemelerinin ve konsültasyon istemlerinin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Bu retrospektif çalışmaya Ocak 2019-Aralık 2020 tarihleri arasında genital travma nedeniyle acil servise başvuran ortaokul ve lise çağındaki 10-18 yaş arası 237 hasta dahil edildi. Hastaların travma sınıflamaları, radyolojik görüntülemeleri, genital yaralanma şekilleri, analjezi uygulamaları, konsültasyonları, sözel ve sayısal ağrı skalası sonuçları değerlendirildi. Bulgular: Çalışmaya alınan 237 hastanın 90'ı (%38) kadın olup, yaş ortalaması 13.80±2.37 yıl (dağılım, 10-18 yıl) idi. Hastaların 136'sı (%57,4) düşme, 63'ü (%26,6) trafik kazası, 35'i (%14,8) penetran ve 3'ü (%1,3) iyatrojenik yaralanma ile başvurdu. Sayısal ağrı skoru düşmelerde 6.63±1.43, trafik kazalarında 6.09±1.66, penetran yaralanmalarda 4.80±1.53 ve iyatrojenik travmalarda 3.67±1.15 idi. Tüm hastaların 93'üne (%39,2) analjezik uygulandı. 43 (%18.1) hastada ağrı şiddeti hafifti. 140'ında (%59.1) orta, 54'ünde (%22.8) şiddetli idi. Sonuç: İzole genital travmalar çok nadirdir ve sıklıkla çoklu organ yaralanmaları ile ilişkilidir. Genital travmalarda; etiyolojik nedenler ve komplikasyonlar oldukça çeşitlilik gösterir. Pediatrik genital travma olgularında hastaların değerlendirilmesinde, görüntüleme gereksinimlerinde ve analjezi uygulamalarında sözel ve sayısal ağrı skalalarının kullanılması faydalı olabilir.

A neglected treatment in middle school and high school age genital trauma: analgesia management with pain scoring

Purpose: The purpose of this study was to assess analgesic applications accompanied by numerical and verbal pain scores, radiological imaging, and consultation requests for genital traumas, which affect a small percentage of middle and high school students. Materials and Methods: This retrospective study included 237 middle school and high school age, 10-18 years old patients who applied to the emergency department due to genital trauma between January 2019 and December 2020. The types of trauma, radiological imaging, genital organ injuries, analgesia applications, consultations, and verbal and numerical pain scale scores of patients were all evaluated. Results: Of the 237 patients included in the study, 90 (38%) were female, and the mean age was 13.80±2.37 years (range, 10-18 years). Of the patients, 136(57.4%) were admitted with falls, 63(26.6%) traffic accidents, 35(14.8%) penetrating and 3(1.3%) iatrogenic injuries. The numerical pain score was 6.63±1.43 in falls, 6.09±1.66 in traffic accidents, 4.80±1.53 in penetrating injuries, and 3.67±1.15 in iatrogenic traumas. Analgesics were administered to 93(39.2%) of all patients. The severity of pain was mild in 43(18.1%) patients. It was moderate in 140(59.1%) and severe in 54(22.8%). Conclusion: Genital traumas that occur alone are extremely rare and are frequently associated with multiple organ injuries. Genital traumas have a wide variety of etiological causes and complications. In cases of pediatric genital trauma, the use of verbal and numerical pain scales may be beneficial in evaluating patients, determining imaging requirements, and determining analgesia applications.

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