TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients
TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients
Yazar: Serin, Halil İbrahim; Erkoç, Mustafa Fatih
Dergi: Bozok Tıp Dergisi, Vol. 8 No. 3, 2018
Anahtar kelimeler: TORAKS TRAVMALI ERİŞKİN HASTALARDAKİ KOT FRAKTÜRÜ VE HEMOPNÖMOTORAKS ARASINDAKİ KORELASYON Correlation Between Rib Fracture and Haemopneumothorax in Adult Thoracic Traumatic Patients

Amaç: Bu çalışmada amaç travmaya bağlı gelişen kot fraktürü ile hemopnömotoraks ilişkisinin saptanmasıdır.Gereç ve yöntemler: Hastanemiz acil servisine 2014-2017 yılları arasında göğüs travmasıyla gelen ve kotkırığı bulunan 280 hastanın toraks BT filmleri retrospektif olarak taranmıştır.Bulgular: 130 hastada deplase(%46,4) 150 hastada nondeplase (%53,6) kot kırıkları saptandı. Deplase olanların75 tanesinde (%57,6) travmatik pnömotoraks, 25 inde (%19,2) eşlik eden hemotraks vardı. Nondeplasekırıkların 20 tanesinde (%13,3) pnömotoraks, 7 sinde (%4,) eşlik eden hemotoraks vardı. Geri kalanlardapnömotoraks hemotoraks izlenmedi. Tüm kırıkların 35’i (%12,5) alt torakal segmentte (9-12. Kotlar), 205’i(%73,2) ise üst torakal segmentteydi (1-8. Kotlar). 40 hastada (%14,3) ise mix tip fraktürler izlendi. Üst torakalyerleşimli olanların 100’ünde ( %79), alt torakal segmentte olanların 4’ünde ( %3) ve mixt tip olanların23’ünde (%18) hemopnömotoraks saptandı.Sonuç: Kot kırığının lokalizasyonu ve deplase-nondeplase olması eşlik eden olası hemopnömotoraks varlığıile ilişkilidir.Anahtar Sözcu¨kler: Kot kırığı; Hemotoraks; Pnömotoraks; Toraks BT.ABSTRACTObjective: The purpose of this study is to determine the relationship between rib fracture andhaemopneumothorax due to trauma.Materials and Methods: Thorax CT films of 280 patients who admitted to our emergency departmentbetween 2014 and 2017 years with thoracic trauma and diagnosis of rib fracture were scannedretrospectively.Results: Displaced in 130 patients (46.4%) and nondisplaced (53.6%) rib fractures in 150 patients weredetected. Traumatic pneumothorax was present in 75 (57.6%) of the displaced patients, and hemotoraxwas associated additionally with 25 (19, 2 %) patients. Pneumothorax was present in 20 (13.3%) of thenondisplaced fractures and hemotorax was accompanied in 7 (4%) patients. Pneumothorax and/orhemotorax were not observed in the rest of the group. Thirty-five (12.5%) of all fractures were in the lowerthoracic segment (9-12th ribs), and 205 (73.2%) were in the upper thoracic segment (1-8th ribs). Mixedfractures were observed in 40 patients (14.3%). Haemopneumothorax was detected in 100 (79%) of theupper thoracic segment located , in 4 (3%) of the lower thoracic segment located and 23 (18%) of the mixttype.Conclusion: Localization and the type (displaced-nondisplaced) of the rib fractures are associated with thepossible presence of haemopneumothorax.Keywords: Rib fracture; Hemotorax; Pneumothorax; Thorax CT.

Amaç: Bu çalışmada amaç travmaya bağlı gelişen kot fraktürü ile hemopnömotoraks ilişkisinin saptanmasıdır.Gereç ve yöntemler: Hastanemiz acil servisine 2014-2017 yılları arasında göğüs travmasıyla gelen ve kotkırığı bulunan 280 hastanın toraks BT filmleri retrospektif olarak taranmıştır.Bulgular: 130 hastada deplase(%46,4) 150 hastada nondeplase (%53,6) kot kırıkları saptandı. Deplase olanların75 tanesinde (%57,6) travmatik pnömotoraks, 25 inde (%19,2) eşlik eden hemotraks vardı. Nondeplasekırıkların 20 tanesinde (%13,3) pnömotoraks, 7 sinde (%4,) eşlik eden hemotoraks vardı. Geri kalanlardapnömotoraks hemotoraks izlenmedi. Tüm kırıkların 35’i (%12,5) alt torakal segmentte (9-12. Kotlar), 205’i(%73,2) ise üst torakal segmentteydi (1-8. Kotlar). 40 hastada (%14,3) ise mix tip fraktürler izlendi. Üst torakalyerleşimli olanların 100’ünde ( %79), alt torakal segmentte olanların 4’ünde ( %3) ve mixt tip olanların23’ünde (%18) hemopnömotoraks saptandı.Sonuç: Kot kırığının lokalizasyonu ve deplase-nondeplase olması eşlik eden olası hemopnömotoraks varlığıile ilişkilidir.Anahtar Sözcu¨kler: Kot kırığı; Hemotoraks; Pnömotoraks; Toraks BT.ABSTRACTObjective: The purpose of this study is to determine the relationship between rib fracture andhaemopneumothorax due to trauma.Materials and Methods: Thorax CT films of 280 patients who admitted to our emergency departmentbetween 2014 and 2017 years with thoracic trauma and diagnosis of rib fracture were scannedretrospectively.Results: Displaced in 130 patients (46.4%) and nondisplaced (53.6%) rib fractures in 150 patients weredetected. Traumatic pneumothorax was present in 75 (57.6%) of the displaced patients, and hemotoraxwas associated additionally with 25 (19, 2 %) patients. Pneumothorax was present in 20 (13.3%) of thenondisplaced fractures and hemotorax was accompanied in 7 (4%) patients. Pneumothorax and/orhemotorax were not observed in the rest of the group. Thirty-five (12.5%) of all fractures were in the lowerthoracic segment (9-12th ribs), and 205 (73.2%) were in the upper thoracic segment (1-8th ribs). Mixedfractures were observed in 40 patients (14.3%). Haemopneumothorax was detected in 100 (79%) of theupper thoracic segment located , in 4 (3%) of the lower thoracic segment located and 23 (18%) of the mixttype.Conclusion: Localization and the type (displaced-nondisplaced) of the rib fractures are associated with thepossible presence of haemopneumothorax.Keywords: Rib fracture; Hemotorax; Pneumothorax; Thorax CT.