Üst ekstremite arter yaralanmalarının özellikleri

Üst ekstremite arter yaralanmaları düşük amputasyon oranları nedeniyle alt ekstremiteye göre daha az ilgi çekmektedir. Ancak morbidite oranları sinir yaralanmaları nedeniyle yüksektir. Bu çalışmanın amacı üst ekstremite arter yaralanmalarının özelliklerini ortaya koymaktır. Üst ekstremite yaralanmaları nedeni ile hastanemize başvuran hastalardaki arter yaralanmaları incelendi. Yaş ortalaması 22,64 $\pm$ 10,10 idi. 200 olgunun 172’si erkek hastaydı. En sık neden kesici delici alet yaralanması idi (% 71). İkinci neden ateşli silah yaralanması idi (% 21). En sık yaralanma bölgesi brakial arter distalinde görüldü (% 71). Birlikte venöz yaralanma oranı % 9,5, sinir yaralanması % 23, kemik yaralanması % 13 oranında görüldü. Tüm yaralanmalarda vasküler rekonstrüksiyon denendi. Sadece 1 travmatik amputasyon olgusunda reimplantasyon başarısız oldu. Üst ekstremite arter yaralanmalarında mortalite ve amputasyon oranları düşüktür.

Anahtar Kelimeler:

Yaralar ve yaralanmalar, Geriyedönük çalışma, Üst ekstremite, Arterler

The characteristics of upper extremity arterial injuries

Upper extremity arterial injuries have lower amputation rates, but have higher morbidity due to concomitant nerve injuries. The aim of this study is to characterize upper extremity arterial injuries. Upper extremity vascular injuries was retrospectively reviewed in our hospital. The mean age was 22,64 $\pm$ 10,10. 0f 200 patients, there were 172 male. The most common cause of injury was penetrating objects (71 %). The second common cause was gunshot wounds (21 %). The common area of injury was distal to brachial artery (71 %). The rate of associated venous injury was 9.5 %, nerve injury 23 %, and bone fractures were seen in 13 %. Vascular reconstruction was tried in all cases. In one case of traumatic amputation, reimplantation was tried but failed. The rates of mortality and amputation were lower in upper extremity arterial injuries.

Keywords:

Wounds and Injuries, Retrospective Studies, Upper Extremity, Arteries,

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