FERUZA TURAN SÖNMEZ, ÖNDER KILIÇASLAN, Gülşen YALÇIN

2 Yaş Altı Çocuklarda Kafa Travmasının Değerlendirilmesinde Bilgisayarlı Tomografinin Rolü

Amaç: Kafa travması çocukların acil servise sık başvuru nedenlerindendir. Travma nedeniyle iki yaş altı çocukların bilgisayarlı tomografi gerekliliği açısından değerlendirilmesi oldukça zordur. Bu çalışmanın amacı 2 yaş altı çocukların değerlendirilmesinde gereksiz kranial bilgisayarlı tomografi çekimine dikkat çekmektir. Gereç ve Yöntem: Acil Servise, yaşları 0-24 ay arası olan ve Ocak 2011 ile Aralık 2015 tarihleri arasında gelen kafa travmalı 183 olgunun kayıtları geriye dönük olarak incelenmiştir. Bulgular: Çalışmaya dahil edilen 183 olgunun, 93’ü erkek (%50,8), 90’ı kız (%49,2) ve hastaların yaşları ortalama 13.08±6.30 (en küçük 1, en büyük 24) ay idi. Kazaların 139’u (%76) düşme, 24’ü (%13,1) araç dışı trafik kazası, 20’si (%10,9) araç içi trafik kazası sonucu gerçekleşmişti. Olguların %12’sine kranial bilgisayarlı tomografi çekilmezken, %80’ine çekilmişti. Kranial bilgisayarlı tomografi çekilen hastaların 7’sinde (%3,8) frontal kemikte, 1’inde (%0,5) temporal kemikte, 5’inde (%2,7) oksipital kemikte, 5’inde (%2,7) parietal kemikte kırık saptandı. Hastaların yatış süresi 0.54±2,90 ( en küçük 0, en büyük 27) gün idi. Olguların hiçbirinde operasyon gereksinimi olmadı. Sonuç: İki yaş altı çocuklarda, kafa travmalarında bilgisayarlı tomografi çekilme oranındaki yükseklik dikkat çekici bulundu. Bu çalışma ile özellikle hafif kafa travmalı olgularda bilgisayarlı tomografi istenmesi için doğru endikasyon konulması, daha ayrıntılı ve objektif kriterleri belirleyen çalışmalar ile istemin azaltılması gerekliliği vurgulanmıştır.

Anahtar Kelimeler:

Bilgisayarlı Beyin Tomografisi, Çocuk, Kafa Travması

The Role of Computerized Tomography for the Evaluation of Head Trauma in Children

Objective: Head trauma is the cause of the most common reasons for pediatric emergency admissions. The decision for computerized tomography evaluation after minör head trauma is a challenge for children in nonverbal age. This study aims to draw attention to unnecessary cranial computerized tomography scanning in children under two years of age. Methods: The records of 183 head trauma cases between the ages of 0-24 months and between January 2011 and December 2015 were reviewed retrospectively. Results: Of the 183 patients included in the study, 93 were male (50.8%), 90 were female (49.2%), and the mean age of the patients was 13.08 ± 6.30 months (the youngest 1 months-of-age, the oldest 24 months-of-age). The distribution of the causes of the head trauma was as follow 139 (76%) accidental, 24 (13,1%) non-vehicle traffic accidents and 20 (10,9%) traffic accidents occurred. Cranial computerized tomography was performed in 80% of the cases. Moreover, was not in 12% of the cases. Patients with cranial computerized tomography had 7% (3.8%) of the frontal bone, 1 (0.5%) temporal bone, 5 (2.7%) occipital bone, and 5 (2.7%) parietal a bone fracture was detected. The duration of hospitalization was 0.54 ± 2.90 (min 0, max 27) days. None of the cases required an operation. Conclusion: In children under two years of age, the height of computerized tomography withdrawal in head trauma was remarkable. This study emphasizes the necessity of putting the right indications for computerized tomography prompting, especially those with mild head trauma, and reducing the need for more detailed and objective criteria.

Keywords:

Computerized Brain Tomography, Child, Head Trauma,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez