The Turkish Journal of Vascular Surgery

Yazarlar: Muhammet Onur HANEDAN, Serkan KETENCİLER, A. Murat ERCİŞLİ, Bahattin ÇİFTÇİ, Zeynel DUMAN, Müslüm POLAT, Birol YAMAK

Konular:-

Anahtar Kelimeler:Vascular system injuries; wounds gunshot; mortality

Özet: Objective: A number of patients with gunshot wounds come to Turkey because of the ongoing civil war in Syria. In this study, patients who admitted our hospital, diagnosed with vas- cular trauma due to gun shot or shell fragments in the civil war in Syria were evaluated, and the factors associated with mortality were identified. Material and Methods: The study included 28 pa- tients who admitted our hospital between June 2012 and October 2013. Results: There were 24 (85.7%) male and 4 (14.3%) female patients with a mean age of 28.05±6.28 years. The mean time from trauma to admittance was 16.32±15.21 hours (range 4 to 48 hours). Five (17.9%) patients we- re intubated before admission. Nine patients (32.1%) received fasciotomy after operation. Ampu- tation rate was 7.1% in 2 patients. The inhospital mortality was seen in 4 (14.2%) patients. The most important factor associated with mortality was presence of preoperative shock and intubati- on (p=0.001). Conclusion: Our study showed that preoperative clinical findings affected the mor- tality associated with vascular trauma. A correct basic medical intervention would help to further reduce mortality rates.

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