Hemodinamisi stabil transmediastinal ateşli silah yaralanmalarında tedavi yaklaşımı
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Date
2009-03
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Ulusal Travma ve Acil Cerrahi Derneği
Abstract
Transmediastinal ateşli silah yaralanmaları hasta hayatını tehdit eden kalp, büyük damar, özofagus ve/veya akciğer gibi organların yaralanması ile sonlanabilir. Hemodinamik açıdan stabil olan hastalarda, tanıya yönelik incelemeler ve seçilecek tedavi yöntemleri tartışmalı noktalar içermektedir. Bu yazıda, hemodinamik açıdan stabil, transmediastinal ateşli silah yaralanması bulunan ve tanısal testler sonucunda üçü ameliyata alınan beş olgudaki deneyimlerimizi sunduk. Ameliyata karar vermeden önce hemodinamik açıdan stabil transmediastinal ateşli silah yaralanması olan olgularda tanısal testler sistematik olarak yapılmalıdır.
Transmediastinal gunshot wounds may result in damage to the heart, large blood vessels, esophagus or lung. In hemodynamically stable patients, diagnostic examinations have critical importance and the preferred therapies still have unresolved points. In this paper, we present our experience with five patients, three of whom were operated for transmediastinal gunshot wounds after diagnostic tests; all were hemodynamically stable. Before deciding on operation, diagnostic tests should be performed in hemodynamically stable patients with transmediastinal gunshot wounds.
Transmediastinal gunshot wounds may result in damage to the heart, large blood vessels, esophagus or lung. In hemodynamically stable patients, diagnostic examinations have critical importance and the preferred therapies still have unresolved points. In this paper, we present our experience with five patients, three of whom were operated for transmediastinal gunshot wounds after diagnostic tests; all were hemodynamically stable. Before deciding on operation, diagnostic tests should be performed in hemodynamically stable patients with transmediastinal gunshot wounds.
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Keywords
Gunshot, Surgery, Transmediastinal, Artery, Emergency medicine, Ateşli silah, cerrahi
Citation
Bayram, A. S. vd. (2009). "Therapeutic approach in hemodynamically stable transmediastinal gunshot wounds". Ulusal Travma ve Acil Cerrahi Dergisi, 15(2), 194-197.