Öz
Penetrating neck injuries are frequent type of traumas among the civilian population. Considering all emergencies, very few of them require as challenging surgical process as neck traumas. The reason is, due to most organ systems (respiratory, vascular, neurologic, gastrointestinal etc.) are clustered in a compact conduit and the potentiality that even a single penetrating trauma may cause significant injury. Moreover, seemingly innocent wound could be deprive of clear sign or symptom so causing ignore and miss out the underlying severity. Because of the damage risk of the vital structures in the neck depends on the type of penetrating object and the penetration zone, setting the diagnosis and planning the treatment differentiates in particular patient. In this paper, successful medical and surgical manipulation of a patient with stab wound in his neck with massive bleeding and hemodynamic shock is presented
Anahtar Kelimeler
Kaynakça
- Maroon JC, Bost JW, Petraglia AL, Lepere DB, Norwig J, Amann C. Outcomes Following Anterior Cervical Discectomy and Fusion in Professional Athletes. Neurosurgery 2013; 73: 103-12.
- Tisherman SA, Samuel A, Bokhari, Faran, Collier, Bryan DO. Penetrating Zone II Neck Trauma. J Trauma 2008; 64: 1392-405.
- Bumpous JM, Whitt PD, Ganzel TM. Penetrating injuries of the visceral compartment of the neck. Am J Otolaryngol 2000; 21: 190-4.
- Atta HM. Organ injury scaling system can be used to predict length of stay in patients with penetrating neck injuries. Am Surg 1999; 65: 575-7.
- Bladergroen M, Brockman R, Luna G. A twelve-year survey of cervicothoracic vascular injuries. Am J Surg 1989; 157: 483-6.
- Amirjamshidi A, Abbassioun K, Rahmat H. Traumatic aneurysms and arteriovenous fistulas of the extracranial vessels in war injuries. Surg Neurol 2000; 53: 136-45.
- Iudakova TN, Girsh AO, Maksimishin SV. Case report of successful treatment of the patient with stab wound of the neck complicated with massive blood loss and shock. Anesteziol Reanimatol 2014; 65-7.
Penetran boyun yaralanmalarına yaklaşım sistematiği nasıl olmalı? Masif kanama ve şok tablosu ile başvuran hastanın başarılı tedavisi
Öz
Özet
Penetran boyun yaralanmaları, sivil travma populasyonu içinde sık görülen bir yaralanma türüdür. Acillerden çok azı boyun travması kadar zor bir cerrahi mücadele süreci gerektirmektedir. Bunun sebebi ise birçok organ sisteminin (respiratuar, vasküler, nörolojik, gastrointestinal vs.) kompakt bir konduitte sıkışmış olması ve tek bir penetran yaralanmanın bile kayda değer hasara yol açabilme potansiyelidir. Dahası, görünürde zararsız olan bir yaralanma, net bulgu ve semptomdan muaf olacağından, kolaylıkla göz ardı edilip atlanabilir. Ayrıca, boyundaki hayati yapıların ciddi zarar görme riski, penetre eden cisme ve bölgeye bağlı olarak değişeceğinden, tanı koyma ve tedavinin planlanması her hastada farklılık göstermektedir. Burada, boynundan bıçaklanarak yaralanan ve masif kan kaybına bağlı şok kliniğiyle acil servise getirilen hastanın başarılı medikal ve cerrahi manipulasyonu sunulmuştur.
Anahtar sözcükler: Boyun yaralanması, kanama, şok
Abstract
Penetrating neck injuries are frequent type of traumas among the civilian population. Considering all emergencies, very few of them require as challenging surgical process as neck traumas. The reason is, due to most organ systems (respiratory, vascular, neurologic, gastrointestinal etc.) are clustered in a compact conduit and the potentiality that even a single penetrating trauma may cause significant injury. Moreover, seemingly innocent wound could be deprive of clear sign or symptom so causing ignore and miss out the underlying severity. Because of the damage risk of the vital structures in the neck depends on the type of penetrating object and the penetration zone, setting the diagnosis and planning the treatment differentiates in particular patient. In this paper, successful medical and surgical manipulation of a patient with stab wound in his neck with massive bleeding and hemodynamic shock is presented.
Keywords: Neck injury, bleeding, shock
Anahtar Kelimeler
Kaynakça
- Maroon JC, Bost JW, Petraglia AL, Lepere DB, Norwig J, Amann C. Outcomes Following Anterior Cervical Discectomy and Fusion in Professional Athletes. Neurosurgery 2013; 73: 103-12.
- Tisherman SA, Samuel A, Bokhari, Faran, Collier, Bryan DO. Penetrating Zone II Neck Trauma. J Trauma 2008; 64: 1392-405.
- Bumpous JM, Whitt PD, Ganzel TM. Penetrating injuries of the visceral compartment of the neck. Am J Otolaryngol 2000; 21: 190-4.
- Atta HM. Organ injury scaling system can be used to predict length of stay in patients with penetrating neck injuries. Am Surg 1999; 65: 575-7.
- Bladergroen M, Brockman R, Luna G. A twelve-year survey of cervicothoracic vascular injuries. Am J Surg 1989; 157: 483-6.
- Amirjamshidi A, Abbassioun K, Rahmat H. Traumatic aneurysms and arteriovenous fistulas of the extracranial vessels in war injuries. Surg Neurol 2000; 53: 136-45.
- Iudakova TN, Girsh AO, Maksimishin SV. Case report of successful treatment of the patient with stab wound of the neck complicated with massive blood loss and shock. Anesteziol Reanimatol 2014; 65-7.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Ekim 2014 |
| Yayımlandığı Sayı | Yıl 2014Cilt: 36 Sayı: 4 |