İntraabdominal hemorajilerde konservatif tedavi
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Date
1994-06-15
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Uludağ Üniversitesi
Abstract
Kliniğimizde 1988-1993 tarihleri arasında eş senelikperiyolla 115 intraabdominal hemoraji vakası belirli bir protokol dahilinde takip edilmiştir. Bu çalışmada konservatif tedavi kriterleri ve sonuçları sunulmuştur. İntraabdominal hemoraji tespit edilen vaka arın resüsitasyon sonucu stabil olan 84 'üne (% 73) konservatif tedavi, instabil olan 31'ine (% 27) cerrahi tedavi uygulanmıştır. Klinik gözleme alınan stabil hastalardan 8 'inde klinik kötüleşme ortaya çıkması üzerine laparatomiye karar verilmiştir. Bu şekilde laparatomiye karar verilen toplam 39 hastadan 30 'u şifa ile taburcu olmuş, 9 'u ise ex olmuştur. Bu 9 hastanın 8 'i ilk resüsitasyonda instabil olup da doğrudan laparatomiye karar verilen grupta, 1 'i ise başlangıçta stabil olup da konservatif olarak takip edilen gruptaydı. Buna göre konservatif gruptaki 84 hastadan 74'ü (% 66) şifa ile 7'si (% 7) operasyon sonucu şifa ile taburcu edilmiş ve 1 'i (%0.8) kaybedilmiştir.
We followed up 115 intraabdominal cases under a certain protocol for a period of five years between 1988-1993 in our institution. In this study, criterion and results of conservative management were presented. Patients with intraabdominal haemorrhage were resuscitated: 84 stabil patients (73 %) were treated conservatively while 31 instabil patients (27 %) operatively. 8 of the stable patients who were observed clinically, were operated on because of clinical deterioration. 30 of the 39 patients were instabil after resuscitation and direct It underwent the operation, while 1 of them was stabil in the beginning and in the conservative group. 74 of 84 patients (66 %) in the conservative group recovered, 7 (7 %) recovered by surgery while 1 (0.8 %) died.
We followed up 115 intraabdominal cases under a certain protocol for a period of five years between 1988-1993 in our institution. In this study, criterion and results of conservative management were presented. Patients with intraabdominal haemorrhage were resuscitated: 84 stabil patients (73 %) were treated conservatively while 31 instabil patients (27 %) operatively. 8 of the stable patients who were observed clinically, were operated on because of clinical deterioration. 30 of the 39 patients were instabil after resuscitation and direct It underwent the operation, while 1 of them was stabil in the beginning and in the conservative group. 74 of 84 patients (66 %) in the conservative group recovered, 7 (7 %) recovered by surgery while 1 (0.8 %) died.
Description
Bu çalışma, 6-9 Kasım 1991 tarihleri arasında Antalya[Türkiye]'da düzenlenen Xl. Ulusal Çocuk Cerrahisi Kongresinde bildiri olarak sunulmuştur.
Keywords
İntraabdominal hemorji, Non-operatif tedavi, Intraabdominal haemorrhage, Non-operatif treatment
Citation
Doğruyol, H. vd. (1994). ''İntraabdominal hemorajilerde konservatif tedavi''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 21(1), 37-41.