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dc.contributor.authorKorkmaz, Ilhan
dc.contributor.authorKaradayi, Sule
dc.contributor.authorGuven, Fatma Mutlu Kukul
dc.contributor.authorEren, Sevki Hakan
dc.contributor.authorSahin, Ekber
dc.contributor.authorNadir, Aydin
dc.contributor.authorBeydilli, Inan
dc.contributor.authorKaptanoglu, Melih
dc.descriptionWOS: 000287769300020en_US
dc.description.abstractIntroduction: Penetrating traumas are life-threatening situations which can be encountered in emergency services. In this study, epidemiological data, treatment approaches and the results pertaining to penetrant abdominal and/or thoracic injuries, which occured due to gunshot or stab wounds, are evalauted retrospectively. Material-method: Two hundred and sixty four patients who admitted to emergency department with penetrating thoracic and/or abdominal trauma between 2002 and2009 were retrospectively analyzed. Patients were divided into 3 groups according to their shock indexes including Low risk (<= 0.5), medium risk (> 0.5-<= 1) and high risk (> 1) groups. Results: The study group included 244 male (92.4%) and 20(7.6%) female participants. Age distribution of the groups was as follows; 58 (22.0%) patients were in the 0-19 years group, 139 patients (52.6%) were in the 20-40 years group and 67 patients (25.4%) were over 40 years. Two hundred and fifteen injuries (81.4%) were caused by stab wounds and 49 (18.6%) were due to gunshots. When the patients were evaluated considering the injury site, isolated thoracic trauma was seen in 93 patients (35.3%) and isolated abdominal injuries were found in 74 patients (28.0%). The most common organ injuries among the patients who underwent laparotomy (n=73) were as follows; bowel injury in 28 patients (38.3%), stomach injuries in 20 patients (27.4%) and liver-spleen injuries in 17 patients (23.28 %). Of 189 patients with thoracic trauma, 17 patients (8.9 %) had hemothorax, 44 (23.28 %) had pneumothorax, 46 (24.33 %) had hemopneumothorax and 2 patients (1.05 %) had pulmonary contusion. Seven patients (2.65 %) died. Two patients were considered as exitus in the initial examination. Two of the 5 exitus cases had shock index ranging within the medium risk group and 3 were in the high-risk group. Conclusion: It must be considered that penetrating trauma patients with medium or high shock index have a higher mortality rate. Therefore, those patients must be closely monitored and the health services should be improved for immediately and appropriately transferring them.en_US
dc.subjectPenetrant traumaen_US
dc.subjectshock indexen_US
dc.subjectthoracic traumaen_US
dc.titleAnalysis of 264 Patients with Stab and Gunshot Wounds in Abdominal and Thoracic Regionsen_US
dc.contributor.department[Korkmaz, Ilhan -- Karadayi, Sule -- Guven, Fatma Mutlu Kukul -- Eren, Sevki Hakan] Cumhuriyet Univ, Dept Emergency Med, Sch Med, Sivas, Turkey -- [Sahin, Ekber -- Nadir, Aydin -- Kaptanoglu, Melih] Cumhuriyet Univ, Dept Thorac Surg, Sch Med, Sivas, Turkey -- [Beydilli, Inan] Kayseri Educ & Res Hosp, Dept Emergency Med, Kayseri, Turkeyen_US
dc.contributor.authorIDkukul guven, fatma mutlu -- 0000-0003-3755-6021en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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