Adult, Isolated Chest Injuries Caused by Falls From Roofs in and Around the City of Sanliurfa

Abstract

ÖzetAmaç: Çanhurfa ve çevresinde damdan dCiçme nedeniyle oiujan eriçkin izole gögüs travmali olgulari degerlendirdik. Gereç ve Yöntemler: Haziran 2008 -Nisan 2010 tarihieri arasinda gögüs cerrahisi klinigine yatiniarak tetkik ve tedavisi yapiian 52 damdan duçmeye bagli erijkin, izole gögüs travmaii oigu geriye dönük olarak incelendi. Oiguiar; cinsiyet, yaj, gelijen torasik yaralanmalar, uygulanan tani ve tedavi yöntemleri, morbidité ve mortalité durumiari açisindan degerlendirildi Bulgular: Olgularm 28'i (%53.85) erkek, 24'ü (%46.15) kadin, yaj araligi 17-87 arasinda degiçmekte olup, ortalama 39.8 idi. 43 oIgu (%82.69) haziran, temmuz, agustos ve eylül aylarinda, 9 oIgu (%17.31) ise diger aylarda tespit edildi. 36 kot fraktürü (%69.23), 3 sternum fraktürü (%5.76), 7 izole hemotoraks (%13.46), 10 izole pnömotoraks (%19.23), 14 hemopnömotoraks (%26.92), 30 akciger kontüzyonu (%57.69), 11 eilt alti amfizemi (%21.15) olgusu mevcuttu. 31 olguya tüptorakostomi (%59.61), 1 oiguya torakotomi (%1.92) uygulandi. Sonuç: Clikemizin güney dogu anadolu bölgesinde özellikle yaz aylannda damdan düjme oiguiarina oldukça sik rastlanmaktadir, yüksekten düjme oigulan travmalar içerisinde özei bir yer almaktadir ve çokiu organ yaralanmaiarina sebep oimasindan doiayi klinik olarak özei bir önemie degeriendirilmesi gerekir. Tedavi hizmetieri kadar koruyucu ve önieyici yakiaçimiarinda önemi vardir. AbstractObjective: We evaluated adult patients with isolated chest injuries caused by falls from roofs in and around the city of Saniiurfa. Materials and Methods: Between June 2008 and April 2010, 52 adult patients with isolated chest trauma caused by falls from roofs who were admitted to the Department of Thoracic Surgery were analyzed retrospectively. Cases were evaluated according to sex, age, developing thoracic injuries, diagnostic and treatment modalities, morbidity and mortality. Results: Among 52 patients, 28 cases (53.85%) were males and 24 (46.15%) females. The age range varied between 17-87 years and the average was 39.8 years. 43 cases (82.69%) were detected in June, July, August and September, 9 cases (17.31%) occurred in the other months. 36 Rib fracture (69.23%), 3 sternal fractures(5.76%), 7 isolated hemothorax (13.46%), 10 isolated pneumothorax (%19.23), 14 haemopneumothorax (%26.92), 30 lung contusion (57.69%), 11 subcutaneous emphysema (%21.1S) cases were seen. Tube thoracostomy was carried out in 31 cases (%59.61)and thoracotomy was done in 1 case (%1.92). Conclusions: In our country, especially in the south-eastern region of Anatolia, falling from a roof in the summer months is quite common, and is a specific place in cases of trauma and falls from height and multiple organ injuries should be evaluated with a special emphasis.A protective and preventive approach is as important as the treatment procedure. (JAEM 2010; 9:155-7)

Analysis of Hospital Mortality and Epidemiology in Trauma Patients: A Multi-Center Study

“…The ED plays a vital role in managing injuries. Trauma requires an immediate and precise diagnosis [8] and is a significant problem in southeastern Turkey. According to our data, 10.8% of the 140,000 patients admitted to the ED during the 6-month study period had suffered trauma.…”