Acil servise başvuran iki yaş altındaki travma vakalarının analizi ve radyolojik görüntüleme oranlarının değerlendirilmesi

Yıl 2024, Cilt: 16 Sayı: 1, 15 - 20, 30.04.2024

Mustafa Alpaslan

Öz

ÖZET
Amaç: Bu çalışmada özellikle yeni hareketlenmeye başlayan iki yaş altındaki çocukluk çağı travmaları incelenerek en sık görülen travma çeşitleri ve acil serviste tanıya yönelik yapılan görüntüleme yöntemleri ile sonuçlarının analizi yapılmak istenmiştir.
Gereç ve Yöntem: İkinci basamak bir hastanede retrospektif olarak 01.01.2022-31.12.2022 tarihleri arasında acil servise travma sonrası başvuran iki yaş altındaki hastaların hastane elektronik verileri üzerinden taranması ile yapıldı. Yaşı 24 ay ve altında olan vakalar değerlendirmeye alındı. Travma sonucunda meydana gelen yaralanmalar ve sonuçlar analiz edildi.
Bulgular: Çalışma kapsamında 1310 hasta değerlendirildi. Ortalama yaş 15,09±5,71 ay olup hastaların %55,4’ü erkekti. En sık %76,6 oranla düşme sonrası başvuru olduğu görüldü. Travmadan en fazla etkilenen bölgeler sırasıyla kafa ve ekstremitelerdi. Hastaların %42,7’ sine röntgen ve %37’sine tomografi çekildi. Tomografilerin %99,5 i baş ve boyun bölgesine yönelik çekildi. Yirmi hasta hastaneye yatırılarak tedavi altına alınırken hastaların 15’i beyin cerrahi ve 5’i ortopedi kliniklerine yatırıldı. Çalışmada ölümle sonlanan vaka olmadı.
Sonuç: İki yaş altındaki çocuklarda en sık düşmeye bağlı travmalar görülmektedir. En sık etkilenen vücut bölgesi ise sırayla baş ve ekstremitelerdir. Bunların dışında yanık ve yabancı cisim yutma ve/veya aspirasyon vakaları da sık görülmektedir.
Anahtar kelimeler: Acil servis,çocuk,travma,düşme

Anahtar Kelimeler

Acil servis, düşme, çocuk travma

Analysis and evaluation of radiological ımaging rates of trauma cases under the age of two presenting to the emergency department

Öz

ABSTRACT
Aim: In this study, it was aimed to analyze the most common trauma types and the imaging methods performed for diagnosis in the emergency department, by examining the childhood traumas under the age of two, which have just begun to mobilize.
Materials and Methods: This study was conducted retrospectively by scanning the hospital electronic data of patients under the age of two who applied to the emergency department after trauma between 01.01.2022 and 31.12.2022 in a secondary care hospital. Cases aged 24 months and below were evaluated. Injuries resulting from trauma and consequences were analyzed.
Results: 1310 patients were evaluated within the scope of the study. The mean age was 15.09±5.71 month years and 55.4% of the patients were male. It was seen that the most frequent application was after falling with a rate of 76.6%. The areas most affected by trauma were the head and extremities, respectively. Direct graphy and tomography were performed in 42.7% of the patients. 99.5% of the tomographies were taken towards the head and neck region. While 20 patients were hospitalized and treated, 15 of them were hospitalized in neurosurgery and 5 in orthopedics clinics. There was no case that ended in death in the study.
Conclusion: Fall related trauma is the most common trauma in children under the age of two. The most commonly affected body parts are the head and extremities, respectively. Apart from these, burns and foreign body ingestion and/or aspiration cases are also common.

Anahtar Kelimeler

Emergency department, fall, child trauma

Kaynakça

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