Yücel YÜZBAŞIOĞLU, Alp ŞENER, Erkan BALKAN, Sinan BECEl, Havva KAVAKLI ŞAHİN, Ferhat İÇME

Evaluation of the patients diagnosed with diaphragmatic rupture in emergency room

Amaç: Bu çalışmada acil servise başvuran torakoabdominal trav- malı hastalarda tespit edilen diyafram yaralanmalarında hastaların özellikleri ve tedavi yönetimi gözden geçirildi. Çalışma planı: Nisan 2005 ve Aralık 2011 tarihleri arasında Ankara Atatürk Eğitim ve Araştırma Hastanesi Acil Servise tora- koabdominal travma nedeni ile başvuran ve diyafram yaralanması tanısı konulan 20 hastanın (18 erkek, 2 kadın; ort. yaş 44.4±13.8 yıl; dağılım 18-72 yıl) tıbbi dosyası retrospektif olarak incelendi. Hastaların demografik özellikleri, hastalığın altta yatan etyolojisi, tanısal değerlendirme, eşlik eden yaralanmalar, uygulanan teda- vi ve travma skorlarının [Glascow Koma Skoru (GCS), Revize Travma Skoru (RTS), Yaralanma Şiddet Skoru (ISS), Travma Yaralanma Şiddet Skoru (TRISS)] yatış süresi üzerindeki etkisi değerlendirildi. Bulgular: Hastaların dördünde penetran yaralanma, 16sında künt travma vardı. Acil serviste yapılan ilk muayenede, GCS: 13.4±2.8, RTS:5.8±3.1 ISS:18.8±7.6 TRISSa göre öngörülen ölüm oranı 6.4±10.4 idi. Revize Travma Skoru ve GKS ile yatış sürelerinde istatistiksel olarak anlamlı bir fark olmamakla birlikte, ISS ≥16 olan hastaların hastanede yatış süreleri, ISS skoru

Acil serviste diyafram rüptürü tanısı konulan hastaların değerlendirilmesi

Background: This study aims to review the patient characteristics and management of diaphragmatic injuries in patients who were admitted to emergency room due to thoracoabdominal trauma. Methods: Between April 2005 and December 2011, medical files of 20 patients (18 males, 2 females; mean age 44.4±13.8 years; range 18 to 72 years) who were admitted to Ankara Atatürk Training and Research Hospital, Emergency Department due to thoracoabdominal trauma and diagnosed with diaphragmatic injury were retrospectively analyzed. The effects of demographic characteristics of the patients, underlying etiology of the disease, diagnostic evaluation, concomitant injuries, treatment received and trauma scores [the Glascow Coma Score (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), Trauma Injury Severity Score (TRISS)] on the length of hospital were evaluated. Results: Four of the patients had penetrating injuries, while 16 had blunt trauma. The initial examination in the emergency room revealed GCS:13.4±2.8, RTS: 5.8±3.1, ISP: 18.8±7.6 and a predicted death rate of 6.4±10.4 according to TRISS. There was no statistically significant difference in the length of hospital stay based on RTS and GCS, whereas the length of hospital stay was significantly longer in patients with ISS scores ≥16, compared to those with ISS scores

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