Kahramanmaraş merkezli depremlerde karın ezilme travması geçiren hastalarda multidetektörlü bilgisayarlı tomografi bulguları

Year 2023, Volume: 48 Issue: 3, 993 - 999, 30.09.2023

Ferhat Can Pişkin , Bişar Akbaş , Ömer Kaya , Hasan Doğru , Bilen Onan

https://doi.org/10.17826/cumj.1342828

Abstract

Amaç: Bu çalışmanın amacı, Kahramanmaraş merkezli depremler sonrası abdominal crush gelişen hastaların multidetektörlü bilgisayarlı tomografi (MDBT) bulguların araştırmaktır.
Gereç ve Yöntem: Bu çalışmada, Kahramanmaraş merkezli deprem nedeniyle yaralanan ve hastanemizde tedavi edilen 255 hasta retrospektif olarak değerlendirildi. Klinik olarak abdominal crush travması şüphesi olan hastalara MDBT ile tetkik yapıldı. Hastalar karın duvarı yaralanması, solid organ yaralanması, karın içinde serbest sıvı, pnömoperitoneum ve deri altı amfizemi bulguları açısından incelendi.
Bulgular: Yaralanma ile MDBT tetkiki arasındaki ortalama süre 3 gün olup, 4 saat ile 8 gün arasında değişmekteydi. Pediatrik ve yetişkin hastaların sırasıyla, %42,6'sı (52/122) ve %47,4'ü (63/133) erkek, %57,4'ü (70/122) ve %52,6'sı (70/133) ise kadın idi. Pediatrik ve yetişkin yaş gruplarında ölüm oranları sırasıyla, %0,4 (1/122) ve %4,3 (11/133) idi. Ölüm gerçekleşen hastalarda akut böbrek hasarı, deri altı amfizemi, dalak yaralanmaları, renal/perirenal yaralanmaları sırasıyla %8,3 (1/12), karaciğer ve karın duvarı yaralanmaları %16,7 (2/12), ve karın içinde serbest sıvı %33,3 (4/12) oranlarında gözlendi.
Sonuç: Karın duvarı yaralanması, karın ezilmesinin en yaygın görülen belirtisi iken katı organlar arasında renal/perirenal yaralanma en sık görüleni ve intraperitoneal organlar arasında ise karaciğer yaralanması sıkça görülmektedir. Bu bulgular, depremle ilişkili karın ezilme travasının önemli özelliklerini vurgulamaktadır.

Keywords

Anahtar Kelimeler: Multidetektörlü Bilgisayarlı Tomografi, Depremler, Karın Ezilmesi, Travma

Multidetector computed tomography findings in patients with abdominal crush trauma due to Kahramanmaraş centered earthquakes

Abstract

Purpose: This study aimed to investigate the characteristics of abdominal crush injuries using multidetector computed tomography (MDCT) in survivors of earthquakes centered in Kahramanmaraş.
Materials and Methods: Retrospective evaluation was conducted on 255 patients who sustained injuries due to an earthquake centered in Kahramanmaraş and were treated at our hospital. Patients clinically suspected of having abdominal crush trauma underwent MDCT examinations. The presence of abdominal wall injuries, solid organ injuries, free fluid in the abdomen, pneumoperitoneum, and subcutaneous emphysema findings were examined.
Results: The median time between injury and MDCT examination was 3 days, ranging from 4 hours to 8 days. Among pediatric and adult age groups, males constituted 42.6% (52/122) and 47.4% (63/133), while females were 57.4% (70/122) and 52.6% (70/133), respectively. The mortality rates for pediatric and adult age groups were 0.4% (1/122) and 4.3% (11/133), respectively. Among patients with fatal outcomes, rates of acute kidney injury, subcutaneous emphysema, spleen injuries, and renal/perirenal injuries were 8.3% (1/12), liver and abdominal wall injuries were 16.7% (2/12), and free fluid in the abdomen was observed at a rate of 33.3% (4/12).
Conclusion: Abdominal wall injuries were the most frequently observed manifestations of crush injuries, with renal/perirenal injuries being the most common among solid organs, and liver injuries being commonly seen among intraperitoneal organs. These findings underscore important characteristics of abdominal crush trauma related to earthquakes.

Keywords

Multidetector Computed Tomography, Earthquakes, Abdominal Crush, Trauma

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