TRAUMATIC INJURIES OF THE DIAPHRAGM

Between January l, 1990 and June 30, 1993, 32 diaphragmatic injury cases were examined to emphasize the importance of diaphragmatic rupture in multiple traumatic patients retrospectively in surgery clinics of Kartal Education and Research Hospital. 56.2% of cases were blunt trauma (traffic accident), 40.6% cases were penetrating wounds, 3.2% were gun-shot wounds. Left and right diaphragm were injured 56.2% and 43.8% respectively. The most injured organs to gother with the diaphragm were liver and spleen. Preoperative diagnostic value of PA chest X-rays was 18.8%, Postoperative complications were 14,4% and two patients were reoperated. Mortality rate was 18.8% and in all of them there were two or more organ injuries together with the diaphragm.

TRAVMATİK DİYAFRAGMA YARALANMALARI

1.1.1990-30.6.1993 yıllan arasında Kartal Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniklerinde tedavi edilen 32 diyafragma yaralanması olgusu, genel vücut travmalı hastalarda diyafragma rüptürünün akla gelmesi gerektiğini vurgulamak amacıyla retrospektif olarak incelendi. Olguların %56.2'si kunt travma (trafik kazası), %40.6'sı kesici-delici alet yaralanması ve %3.2'si kurşunlanma idi. %56.2 olguda sol, %43.8 olguda sağ diyafragma yaralanmıştı. En çok yaralanan ek organlar karaciğer ve dalaktı. PA Akciğer grafisinin preoperatif tanı değeri %18.8 idi. %34.4 olguda postoperatif komplikasyon görüldü ve ikisi reopere edildi. Mortalitemiz %18.8 olup, bunların hepsinde iki veya daha fazla ek organ yaralanması mevcuttu.