- Bozok Tıp Dergisi
- Vol: 8 Issue: 3
- TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlati...
TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients
Authors : Halil Ibrahim Serin, Mustafa Fatih Erkoç
Pages : 83-86
View : 17 | Download : 5
Publication Date : 2018-09-16
Article Type : Research
Abstract :Amaç: Bu çalışmada amaç travmaya bağlı gelişen kot fraktürü ile hemopnömotoraks ilişkisinin saptanmasıdır. Gereç ve yöntemler: Hastanemiz acil servisine 2014-2017 yılları arasında göğüs travmasıyla gelen ve kot kırığı bulunan 280 hastanın toraks BT filmleri retrospektif olarak taranmıştır. Bulgular: 130 hastada deplase(%46,4) 150 hastada nondeplase (%53,6) kot kırıkları saptandı. Deplase olanların 75 tanesinde (%57,6) travmatik pnömotoraks, 25 inde (%19,2) eşlik eden hemotraks vardı. Nondeplase kırıkların 20 tanesinde (%13,3) pnömotoraks, 7 sinde (%4,) eşlik eden hemotoraks vardı. Geri kalanlarda pnömotoraks hemotoraks izlenmedi. Tüm kırıkların 35’i (%12,5) alt torakal segmentte (9-12. Kotlar), 205’i (%73,2) ise üst torakal segmentteydi (1-8. Kotlar). 40 hastada (%14,3) ise mix tip fraktürler izlendi. Üst torakal yerleşimli olanların 100’ünde ( %79), alt torakal segmentte olanların 4’ünde ( %3) ve mixt tip olanların 23’ünde (%18) hemopnömotoraks saptandı. Sonuç: Kot kırığının lokalizasyonu ve deplase-nondeplase olması eşlik eden olası hemopnömotoraks varlığı ile ilişkilidir. Anahtar Sözcu¨kler: Kot kırığı; Hemotoraks; Pnömotoraks; Toraks BT. ABSTRACT Objective: The purpose of this study is to determine the relationship between rib fracture and haemopneumothorax due to trauma. Materials and Methods: Thorax CT films of 280 patients who admitted to our emergency department between 2014 and 2017 years with thoracic trauma and diagnosis of rib fracture were scanned retrospectively. Results: Displaced in 130 patients (46.4%) and nondisplaced (53.6%) rib fractures in 150 patients were detected. Traumatic pneumothorax was present in 75 (57.6%) of the displaced patients, and hemotorax was associated additionally with 25 (19, 2 %) patients. Pneumothorax was present in 20 (13.3%) of the nondisplaced fractures and hemotorax was accompanied in 7 (4%) patients. Pneumothorax and/or hemotorax were not observed in the rest of the group. Thirty-five (12.5%) of all fractures were in the lower thoracic segment (9-12th ribs), and 205 (73.2%) were in the upper thoracic segment (1-8th ribs). Mixed fractures were observed in 40 patients (14.3%). Haemopneumothorax was detected in 100 (79%) of the upper thoracic segment located , in 4 (3%) of the lower thoracic segment located and 23 (18%) of the mixt type. Conclusion: Localization and the type (displaced-nondisplaced) of the rib fractures are associated with the possible presence of haemopneumothorax. Keywords: Rib fracture; Hemotorax; Pneumothorax; Thorax CT.Keywords : TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients