YÜKSEKTEN DÜŞME: ERİŞKİN OLGULAR

Amaç:Yüksekten düşme olayları ülkemiz için önemli ölüm ve yaralanma nedenleri arasında yer alır. Ulusal veuluslar arası literatür taramasının gerçekleştirildiği bu derleme de yüksekten düşen erişkin olgulara tıbbiyaklaşımın esasları gözden geçirildi.Gereç ve Yöntem:Çalışma pubmed taraması ile gerçekleştirildi. Ülkemizden yayınlanmış ulusal yayınlarınverileri ile uluslararsı veriler tarandı ve değerlendirildi.Bulgular:Literatür bilgileri incelendiğinde yaş, yükseklik ve düşülen zeminin yapısının prognoz için iyi birprediktör faktör olduğu; erişkin ve çocuk olguları arasında klinik patern olarak farklılıklar belirlendiği; düştüktensonra tüm olgularda önemli miktarda izole organ yaralanması gözlendiği tespit edildi. Mortalite ve morbiditeoranları sıklıkla düşülen yüksekliğe ve düşerken olgunun çarptığı vücut yüzeyine bağlı olduğu ve çocuklardayüksekten düşme daha sık gözlenmesine rağmen erişkinlerde daha fazla mortalite gözlendiği anlaşıldı.Sonuç :Sonuç olarak yüksekten düşme olgularının travma olguları içinde ayrı bir antite olarak ele alınması veklinik olarak ciddiyetle değerlendirilmesi ve bu konuda literatür bulguları eşliğinde klinik prospektif çalışmalarile yeni yaklaşım tarzları geliştirilmesi gerektiği kanaatine varıldı

Anahtar Kelimeler:

Yüksekten düşme, travma skorları, mortalite

Fall From Heights Among Adults

Falls from heights are a common cause of death and disability in Turkey. The age, height and structure of the base of a fall is a good predictor of prognosis. There are differences between adult and paediatric cases and the high number of isolated organ injuries should not be underestimated. Mortality and morbidity change due to part of body which hits the surface initially, surface property and height of fall. This review aims to categorize and discuss the the patterns of injury of fall from heights among adult patients.

Keywords:

Fall from heights, trauma scores, mortality,

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