Analysis of Patients with Chest Trauma Undergoing Urgent Thoracotomy

Acil Torakotomi Yapılan Göğüs Travmalı Hastaların Analizi Amaç: Acil torakotomi, künt ve penetran toraks travmalı hastalarda acil serviste ya da ameliyathanede uygulanan bir cerrahi müdahaledir. Çalışmamızda, acil torakotomi yapılan hastalar retrospektif incelendi. Elde edilen sonuçlar literatür eşliğinde tartışıldı. Metaryel ve Metod: Ocak 2010-Aralık 2014 tarihleri arasında toraks yaralanması nedeniyle amliyathanede acil torakotomi yapılan 22 hastanın dosyaları retrospektif incelendi. Direkt torakotomi (grup 1) yada tüp torakostomi sonrası torakotomi (grup 2) yapılan hastalar olarak iki grup oluşturuldu. Yaş, cinsiyet, yaralanma yeri, travmanın tipi, yandaş yaralanmalar, transfüzyon ihtiyacı, modifiye erken uyarı sistemi (MEWS) skorlama değerleri, hastaneye ulaşım süreleri, cerrahi yöntemler, operasyonda görülen ve onarılan yaralanmalar, komplikasyonlar, yatış süreleri, mortalite ve morbidite oranları tespit edildi. Cinsiyetin, travma tipinin, yandaş yaralanmaların, MEWS skorlama değerlerinin, hastaneye ulaşım sürelerinin ve travma yerinin mortaliteye olan etkisi değerlendirildi. İstatistiksel analizde, sürekli değişkenler, ortalama ± standart sapma, kategorik değişkenler, sayı-oran olarak ifade edildi. Sonuçların anlamlılıkları, Fisher's exact testi ile değerlendirildi. P

Acil Torakotomi Yapılan Göğüs Travmalı Hastaların Analizi

Objective: Emergency Thoracotomy is a surgery procedure performed for patients with blunt and penetrating thoracic trauma. In this study, patients with thoracic trauma performed emergency thoracotomy were examined retrospectively. The result obtained was discussed related to literature. Material and methods: Between 2010 and 2014, 22 patients, which have undergone urgent thoracotomy in operation room due to thoracic trauma, were evaluated retrospectively. Patients were divided into two groups as direct thoracotomy (group 1) or thoracotomy after tube thoracostomy (group 2) groups. Age, sex, location and type of trauma, associated injuries, blood transfusion, modified early warning score (MEWS) values, the time to arrival at hospital, surgical procedures, pathologies seen and repaired in operation, complications, length of stay in hospital, mortality and morbidity rates were analyzed. Also the effects of sex, location and type of trauma, associated injuries, MEWS values and time to arrival at hospital on the mortality were evaluated. Statistically, continuous variables were expressed as mean ± standard deviation, categorical variables were explained as number and percentage. Results of analysis were evaluated using Fisher's exact test. P<0.05 was considered as significant. Results: The average age was 26±6,7. There were 6 patients in group one, 20 patients in group two. Penetrating injuries were found in 20 of the patients, and blunt trauma was identified in 2. Statistically, correlation was found between mortality and the presence of concomitant injuries, time to arrival at hospital over one hour and MEWS scoring values >9. Conclusion: Fast and accurate interventions reduced morbidity and mortality in thoracic injuries.

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