Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma

ORAK, MURAT; GÜLOĞLU, Cahfer; ÜSTÜNDAĞ, Mehmet; ERDOĞAN, Mehmet Özgür; AL, Behçet; Gökdemir, Mehmet Tahir

Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma

Murat ORAK, (Dicle Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Diyarbakır, Türkiye)

Mehmet ÜSTÜNDAĞ, (Dicle Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Diyarbakır, Türkiye)

Cahfer GÜLOĞLU, (Dicle Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Diyarbakır, Türkiye)

Mehmet Tahir GÖKDEMİR, (Sağlık Bakanlığı, Şanlıurfa Eğitim ve Araştırma Hastanesi, Şanlıurfa, Türkiye)

Mehmet Özgür ERDOĞAN, (Sağlık Bakanlığı, Şanlıurfa Eğitim ve Araştırma Hastanesi, Şanlıurfa, Türkiye)

Behçet AL (Gaziantep Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı,Gaziantep, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

4 3

Yıl: 2010 Cilt: 16 Sayı: 2 Sayfa Aralığı: 155 - 159 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma

Öz:

AMAÇ Bu çalışmada, pediyatrik künt batın travmalı hastalarda organ hasarının bir göstergesi olarak ultrasonografiyle saptanan pelvik sıvı varlığının önemi değerlendirildi. GEREÇ VE YÖNTEM Ocak 2008 ve Aralık 2008 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Hastanesi Acil Servisine künt karın travması ile başvuran ardışık 85 pediyatrik hastanın kayıtları geriye doğru değerlendirildi. Hasta yaşı, cinsiyeti, yaralanma mekanizması, izole yaralanmalar, cerrahi girişimler, hastaneye yatış ve mortalite mayi yerleşimine göre değerlendirildi. BULGULAR Künt karın travması olan toplam 85 pediyatrik hasta (63 erkek, 22 kız; ortalama yaş 7,88±3,403 yıl) bu çalışmaya dahil edildi. Hastaların %40?ında intraperitoneal sıvı, %60?ında pelvik sıvı vardı. Hastaların çoğu (%35,3) yüksekten düşme nedeni ile başvurmuşlardı. Yaralanma mekanizması ile sıvı varlığı ve sıvı yerleşimi arasındaki fark istatistiksel olarak anlamlı değil idi (p>0,05). Yirmi dokuz hastada solid organ yaralanması vardı. İntraperitoneal sıvıyi en çok arttıran dalak yaralanması idi (p<0,001). Hastaların %15,3?üne laparotomi yapıldı (bunların tümünde intraperitoneal sıvı vardı) %44,7 hasta kan transfüzyonuna ihtiyaç duydu. İntraperitonal sıvı varlığı laparotomi olasılığını ve kan transfüzyon ihtiyacını istatistiksel olarak artırmıştı (p<0,001). Mortalite oranı %4,8 idi. SONUÇ Ultrasonografi incelemesinde pelvik sıvı varlığında solid organ yaralanma olasılığı daha düşük iken, pelvis dışı intraperitoneal sıvı varlığında solid organ yaralanma olasılığı daha yüksektir.

Anahtar Kelime:

Konular: Cerrahi

Künt karın travmalı pediyatrik hastalarda ultrasonografiyle saptanan pelvik sıvının klinik önemi

Öz:

BACKGROUND The aim of this study was to evaluate the significance of the ultrasonographic finding of pelvic fluid as a predictor of organ injury in pediatric patients with blunt abdominal trauma. METHODS We reviewed retrospectively the medical records of 85 consecutive pediatric patients who admitted to the Emergency Department of Dicle University from January 2008 to December 2008 with blunt abdominal trauma. Age, gender, mechanism of injury, isolated injuries, surgical interventions, hospitalization, and mortality were evaluated according to the location of fluid. RESULTS A total of 85 pediatric patients (63 male, 22 female; mean age: 7.88±3.403 years) with blunt abdominal trauma were included in the present study. Forty percent of the patients had intraperitoneal fluid, while 60% had pelvic fluid. The majority (35.3%) of patients applied due to falling from height. The difference between the mechanism of the injuries and location and presence of the fluid was not statistically significant (p>0.05). Twenty-nine patients had solid organ injuries. Splenic injuries showed the highest association with intraperitoneal fluid (p<0.001). Of the patients, 15.3% underwent exploratory laparotomy and 44.7% required blood transfusion. The presence of intraperitoneal fluid statistically increased the probability of the exploratory laparotomy and necessity of blood transfusion (p<0.001). Mortality rate was 4.8%.CONCLUSION In ultrasound examination, it was determined that the probability of solid organ injury was lower in the presence of pelvic fluid, while it was higher in the presence of intraperitoneal fluid outside the pelvis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ORAK M, ÜSTÜNDAĞ M, GÜLOĞLU C, Gökdemir M, ERDOĞAN M, AL B (2010). Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. , 155 - 159.
Chicago	ORAK MURAT,ÜSTÜNDAĞ Mehmet,GÜLOĞLU Cahfer,Gökdemir Mehmet Tahir,ERDOĞAN Mehmet Özgür,AL Behçet Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. (2010): 155 - 159.
MLA	ORAK MURAT,ÜSTÜNDAĞ Mehmet,GÜLOĞLU Cahfer,Gökdemir Mehmet Tahir,ERDOĞAN Mehmet Özgür,AL Behçet Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. , 2010, ss.155 - 159.
AMA	ORAK M,ÜSTÜNDAĞ M,GÜLOĞLU C,Gökdemir M,ERDOĞAN M,AL B Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. . 2010; 155 - 159.
Vancouver	ORAK M,ÜSTÜNDAĞ M,GÜLOĞLU C,Gökdemir M,ERDOĞAN M,AL B Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. . 2010; 155 - 159.
IEEE	ORAK M,ÜSTÜNDAĞ M,GÜLOĞLU C,Gökdemir M,ERDOĞAN M,AL B "Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma." , ss.155 - 159, 2010.
ISNAD	ORAK, MURAT vd. "Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma". (2010), 155-159.

APA	ORAK M, ÜSTÜNDAĞ M, GÜLOĞLU C, Gökdemir M, ERDOĞAN M, AL B (2010). Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. Ulusal Travma ve Acil Cerrahi Dergisi, 16(2), 155 - 159.
Chicago	ORAK MURAT,ÜSTÜNDAĞ Mehmet,GÜLOĞLU Cahfer,Gökdemir Mehmet Tahir,ERDOĞAN Mehmet Özgür,AL Behçet Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.2 (2010): 155 - 159.
MLA	ORAK MURAT,ÜSTÜNDAĞ Mehmet,GÜLOĞLU Cahfer,Gökdemir Mehmet Tahir,ERDOĞAN Mehmet Özgür,AL Behçet Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.2, 2010, ss.155 - 159.
AMA	ORAK M,ÜSTÜNDAĞ M,GÜLOĞLU C,Gökdemir M,ERDOĞAN M,AL B Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 155 - 159.
Vancouver	ORAK M,ÜSTÜNDAĞ M,GÜLOĞLU C,Gökdemir M,ERDOĞAN M,AL B Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 155 - 159.
IEEE	ORAK M,ÜSTÜNDAĞ M,GÜLOĞLU C,Gökdemir M,ERDOĞAN M,AL B "Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.155 - 159, 2010.
ISNAD	ORAK, MURAT vd. "Clinical importance of ultrasonographic pelvic fluid in pediatric patients with blunt abdominal trauma". Ulusal Travma ve Acil Cerrahi Dergisi 16/2 (2010), 155-159.