Year 2020, Volume 4 , Issue 8, Pages 704 - 706 2020-08-01

Penetran toraks travması sonrası torakotomi gerektiren şok kliniği: Olgu sunumu
Shock requiring thoracotomy after penetrating thoracic trauma: A case report

Elif KOÇKARA [1] , Hatice Şeyma AKÇA [2] , Abdullah ALGIN [3] , Serdar ÖZDEMİR [4] , Serkan Emre EROĞLU [5]


Toraks travması tüm travmatik yaralanmaların %25-50'sinin ve tüm yaş grubunda ölümün önde gelen sebeplerinden biridir. Toraks travmalarında ana sorun, solunumun ve hemodinamik fonksiyonların bozulmasıdır. Biz bu çalışmada acil servise ulaştığında yaşamsal değerleri bozulmuş ve resüsitasyona cevap vermeyen bir toraks yaralanmasında yapılan acil torakotomiyi sunmayı amaçladık. Bu vakada toraksa penetre multipl yaralanmaları olan 41 yaşında bir kadın olgunun hastaneye gelişinden acil torakotomi kararı alınmasına kadar olan süreyi inceledik. Şok yaklaşımının ve resüsitasyon protokollerinin uygun biçimde uygulanmasına rağmen hastanın klinik durumunda iyileşme olmaması ve yapılan FAST ultrasonografisinde aktif kanama görülmesi üzerine hastaya acil torakotomi kararı alındı. Torakotomi sonrası yaşamsal değerlerinde düzelme görülen hasta 1 haftalık yoğun bakım ve servis takibinin ardından ayaktan taburcu edildi. Şok yaklaşımı doğru bir şekilde uygulanmış olmasına rağmen, toraks içi penetran yaralanmalara acil torakotomi endikasyonu kararının alınmasının ve uygulanmasının hastanın mortalitesinde kilit bir nokta olduğu unutulmamalıdır.
Thoracic trauma is one of the leading causes of 25-50% of all traumatic injuries and death in the entire population. The main problem in thoracic traumas is the disruption of respiratory and hemodynamic functions. We aimed to investigate emergency thoracotomy performed in thoracic injury and its effect on patient mortality. In this case, we examined the time from the arrival of a 41-year-old woman with penetrating multiple injuries to the thorax to the decision to perform an emergency thoracotomy. Although the shock approach and resuscitation protocols were properly applied, an emergency thoracotomy was decided on, since there was no improvement in the patient's clinical condition and active bleeding was observed in FAST ultrasonography. The patient, whose vital values improved after thoracotomy, was discharged from the hospital after 1 week of intensive care and service follow-up. It should not be forgotten that performing an emergency thoracotomy in intrathoracic penetrating injuries is a key point in the patient’s survival.
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Primary Language en
Subjects Emergency Medicine
Journal Section Case report
Authors

Orcid: 0000-0001-8912-172X
Author: Elif KOÇKARA
Institution: DEPARTMENT OF FIRST AID AND EMERGENCY
Country: Turkey


Orcid: 0000-0003-2823-9577
Author: Hatice Şeyma AKÇA (Primary Author)
Institution: DEPARTMENT OF FIRST AID AND EMERGENCY
Country: Turkey


Orcid: 0000-0002-9016-9701
Author: Abdullah ALGIN
Institution: DEPARTMENT OF FIRST AID AND EMERGENCY
Country: Turkey


Orcid: 0000-0002-6186-6110
Author: Serdar ÖZDEMİR
Institution: DEPARTMENT OF FIRST AID AND EMERGENCY
Country: Turkey


Orcid: 0000-0002-3183-3713
Author: Serkan Emre EROĞLU
Institution: DEPARTMENT OF FIRST AID AND EMERGENCY
Country: Turkey


Dates

Publication Date : August 1, 2020

Bibtex @case report { josam697034, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {704 - 706}, doi = {10.28982/josam.697034}, title = {Shock requiring thoracotomy after penetrating thoracic trauma: A case report}, key = {cite}, author = {Koçkara, Elif and Akça, Hatice Şeyma and Algın, Abdullah and Özdemi̇r, Serdar and Eroğlu, Serkan Emre} }
APA Koçkara, E , Akça, H , Algın, A , Özdemi̇r, S , Eroğlu, S . (2020). Shock requiring thoracotomy after penetrating thoracic trauma: A case report . Journal of Surgery and Medicine , 4 (8) , 704-706 . DOI: 10.28982/josam.697034
MLA Koçkara, E , Akça, H , Algın, A , Özdemi̇r, S , Eroğlu, S . "Shock requiring thoracotomy after penetrating thoracic trauma: A case report" . Journal of Surgery and Medicine 4 (2020 ): 704-706 <http://jsurgmed.com/en/pub/issue/56401/697034>
Chicago Koçkara, E , Akça, H , Algın, A , Özdemi̇r, S , Eroğlu, S . "Shock requiring thoracotomy after penetrating thoracic trauma: A case report". Journal of Surgery and Medicine 4 (2020 ): 704-706
RIS TY - JOUR T1 - Shock requiring thoracotomy after penetrating thoracic trauma: A case report AU - Elif Koçkara , Hatice Şeyma Akça , Abdullah Algın , Serdar Özdemi̇r , Serkan Emre Eroğlu Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.697034 DO - 10.28982/josam.697034 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 704 EP - 706 VL - 4 IS - 8 SN - -2602-2079 M3 - doi: 10.28982/josam.697034 UR - https://doi.org/10.28982/josam.697034 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Shock requiring thoracotomy after penetrating thoracic trauma: A case report %A Elif Koçkara , Hatice Şeyma Akça , Abdullah Algın , Serdar Özdemi̇r , Serkan Emre Eroğlu %T Shock requiring thoracotomy after penetrating thoracic trauma: A case report %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 8 %R doi: 10.28982/josam.697034 %U 10.28982/josam.697034
ISNAD Koçkara, Elif , Akça, Hatice Şeyma , Algın, Abdullah , Özdemi̇r, Serdar , Eroğlu, Serkan Emre . "Shock requiring thoracotomy after penetrating thoracic trauma: A case report". Journal of Surgery and Medicine 4 / 8 (August 2020): 704-706 . https://doi.org/10.28982/josam.697034
AMA Koçkara E , Akça H , Algın A , Özdemi̇r S , Eroğlu S . Shock requiring thoracotomy after penetrating thoracic trauma: A case report. J Surg Med. 2020; 4(8): 704-706.
Vancouver Koçkara E , Akça H , Algın A , Özdemi̇r S , Eroğlu S . Shock requiring thoracotomy after penetrating thoracic trauma: A case report. Journal of Surgery and Medicine. 2020; 4(8): 704-706.