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Fırat Tıp Dergisi
2016, Cilt 21, Sayı 2, Sayfa(lar) 079-083
[ Turkish ] [ Tam Metin ] [ PDF ]
Analysis of Patients with Chest Trauma Undergoing Urgent Thoracotomy
Muharrem CAKMAK1, Melih YUKSEL2
1Gazi Yasargil Education and Research Hospital, Thoracic Surgery, Diyarbakir, Turkey
2Gazi Yasargil Education and Research Hospital, Emergency Medicine Clinic, Diyarbakir, Turkey

Objective: Emergency Thoracotomy is a surgery procedure performed for patients with blunt and penetrating thoracic trauma. In this study, patients with thoracic trauma performed emergency thoracotomy were examined retrospectively. The result obtained was discussed related to literature.

Material and methods: Between 2010 and 2014, 22 patients, which have undergone urgent thoracotomy in operation room due to thoracic trauma, were evaluated retrospectively. Patients were divided into two groups as direct thoracotomy (group 1) or thoracotomy after tube thoracostomy (group 2) groups. Age, sex, location and type of trauma, associated injuries, blood transfusion, modified early warning score (MEWS) values, the time to arrival at hospital, surgical procedures, pathologies seen and repaired in operation, complications, length of stay in hospital, mortality and morbidity rates were analyzed. Also the effects of sex, location and type of trauma, associated injuries, MEWS values and time to arrival at hospital on the mortality were evaluated. Statistically, continuous variables were expressed as mean ± standard deviation, categorical variables were explained as number and percentage. Results of analysis were evaluated using Fisher\'s exact test. P<0.05 was considered as significant.

Results: The average age was 26±6,7. There were 6 patients in group one, 20 patients in group two. Penetrating injuries were found in 20 of the patients, and blunt trauma was identified in 2. Statistically, correlation was found between mortality and the presence of concomitant injuries, time to arrival at hospital over one hour and MEWS scoring values >9.

Conclusion: Fast and accurate interventions reduced morbidity and mortality in thoracic injuries.


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