Sürdürülebilir Kalkınma Amaçları

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• MakaleAçık Erişim2017Scopus SJRQ4/r/gumushane/16144
  SCREENING FOR ABDOMINAL AORTIC ANEURYSM IN GERIATRIC POPULATION

  Karakus, Ali; Tasin, Veyis; Kartal, Ismail; Kuvandik, Guven

  Aim: An abdominal aortic aneurysm (AAA) is uncommon in people. Male gender and smoking are the most important risk factors. AAA is a condition that may be fatal when diagnosis is delayed This study aimed to emphasize the necessity for screening due to four fatal cases with abdominal aortic aneurysm in a genatric population. Material and Method The study included 320 patients from a nursing home and an emergency department The diameters of abdominal aortas were measured and assessed far risk factors. Results: Of the patients, 232 (72.5% were male and the mean age was 75.65 +/- 7.76 (range: 62-95 years). Hypertension was the most frequent risk factor determined. Mean aortic diameter was found as 18.87 +/- 2.74 mm (range 15-26 mm) No significant associations were detected among risk factors, age groups, and aortic diameter Four cases with abdominal aortic aneurysm died. Discussion AM is the most frequently seen aneurysm among true aneurysms. Major risk factors for AAA include male gender. smoking history. and age >65 years. In advanced ages, particularly in men, screening for AAA reduced deaths caused by rupture. The patients should be assessed for surgical intervention by Taking risk factors into consideration. Large-scale screening studies can reduce risk for mortality.

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• MakaleYalnız künye2012Scopus SJRQ3/r/gumushane/16148
  Isolated Hemothorax Following Thoracic Trauma: Analysis of 57 Cases

  Çobanoglu, Ufuk; Melek, Mehmet; Kara, Volkan; Mergan, Duygu

  Aim: The aim of this study was to review cases with isolated hemothorax after thoracic trauma, to assess the diagnostic and treatment methods, and to discuss the determining factors of morbidity and mortality. Material and Method: A total of 57 patients were examined retrospectively. All patients underwent tube thoracostomy and underwater seal as the initial treatment approach. Emergency thoracotomy was performed on cases with continuing drainage from the chest tube, expanding hemothorax on the posteroanterior (PA) chest x-ray, and with hemodynamic instability. Result: Hemothorax occurred as a result of penetrating trauma in 31 (54.38%) and due to blunt trauma in 26 (45.61%) cases. Of the cases, 49 (85.96%) underwent tube thoracostomy drainage. All the 8 cases (14.03%) that underwent emergency thoracotomy had penetrating trauma. Mortality occurred in one patient (1.75%) who had penetrating trauma and who underwent emergency thoracotomy. The morbidity rate in patients with blunt trauma was significantly higher than those with penetrating trauma (p<0.0001). Discussion: Accurate diagnosis and appropriate surgical intervention in cases with traumatic hemothorax is essential for reducing the morbidity and mortality. Chest tube insertion and underwater seal application should be the initial treatment modality and successful in most cases. Emergency thoracotomy is life-saving in indicated patients. The need for thoracotomy is higher in isolated hemothorax due to penetrating chest trauma.

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  AtıfWoS3·OpenAlex2

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