Abidin ŞEHİTOĞULLARI, Ali KAHRAMAN, Fuat SAYIR, Oral AKIN, Gökcen SEVİLGEN, Ufuk ÇOBANOĞLU

Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey

Van’da 23 Ekim ve 9 Kasım’da 7.2 ve 5.6 şiddetinde son 10 yılın en şiddetli depremi meydana geldi. Amacımız, şiddetli Van depreminden dolayı toraks travmasına maruz kalan hastaların klinik profilini ve sonuçlarını araştırmaktır. Göğüs travmasına maruz kalan 39 hasta retrospektif olarak değerlendirildi. Yaş dağılımı ele alındığında 21 olgu bayan, 18 olgu erkekti. Göğüs kafesi, akciğer parenkimi, plevral yaralanma durumu değerlendirildi. Deprem nedeniyle toplamda, yatırılan 425 hastanın 39’u (%9.1) toraks travması ve akciğer yaralanmasına maruz olgulardı. Pnömotoraks ve kot fraktürleri, en sık görülen 2 önemli patolojiydi. Pnömotoraks ve/veya hemotoraks 31 hastada (%79), bronş rüptürü 2 olguda (%5.1), diyafragma rüptürü 2 olguda (%5.1), yelken göğüs 2 olguda (%5.1), sternal kırık 2 olguda (%5.1) görüldü. Tesbit edilen kırık kot sayısı 76 idi (27 hastada, %69). Pulmoner parenkimal yaralanmalı olgu sayısı 36 olgu (%92), plevral yaralanmalı olgu sayısı 31 (%79) idi. Tüp torakostomi uygulanan olgu sayısı 37 (%95) iken, torakotomi 4 olguya (%10) uygulandı. Akut solunum yetmezliği 4 olguda (%10) gelişti, bu olgulardan ikisi eksitus oldu.Hastaneye hasta kabulü sonrası, hastaların yakın zamandaki klinik öykü ve değerlendirmesi yapılarak tedavi şekillendirilmelidir. Travmatik göğüs yaralanmalarında aynı zamanda tedavi stratejileri ve medikal tedavi seçenekleri de iyi değerlendirilmelidir

Anahtar Kelimeler:

Deprem, göğüs travaması, akciğer yaralanması

Clinical Profile of Thorax and Lung Injuries Associated with the 2011 Van Earthquake in Turkey

The 7.2 and 5.6 magnitude earthquake that struck Turkey on October 23 and November 9, 2011, was one of the deadliest earthquakes in recent decade. Our aim is to determine the clinical profile of crush thoracic traumas resulting from the massive Van earthquake. A retrospective review was undertaken of 39 intervention for chest traumas. Sex distrubition was 21 female and 18 male patients. Thoracic cage, pulmonary parenchyma, and pleura traumas were included in the study. Among the total of 425 hospitalized patients, 39 (9.1%) were thorax and lung injuries. Pneumothorax and rib fractures were the two most frequent pathologies. There were pneumothorax or hemothorax in 31 (79%) patients, bronch ruptures in 2 (5.1%) patients, diaphragmatic ruptures in 2 (5.1%) patients, flail chest in 2 (5.1%) patients and sternal fracture was detected in 2 (5.1%) patients. Totally, 76 ribs fractures were found in 27 (69%) patients, There were 36 (92%) patients with pulmonary parenchymal injuries and 31 (79%) with pleural injuries. Thoracotomy was performed in 4 (10%) patients, while 37 (95%) patients underwent tube thoracostomy. Carinal reconstruction was performed in a patient with bronchus and trachea injuries. Four patients (10%) with severe trauma developed Acute Respiratory Distres Syndrome (ARDS) and two of them died because of developing ARDS. After the patients are admitted to the hospital, we should use an individualized treatment according to the patients recent clinical history and examination. At the same time, traumatic chest injury should be considered in planning the medical response strategies

Keywords:

Earthquake, thoracic trauma, lung injury,

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