Amaç: Toraks travmas nedeniyle acil servise ba vuran hastalarda; travma nedenleri, olu an patolojiler, tan ve tedavi yöntem-leri literatür e li inde tart ld . Morbidite ve mortalitenin; etiyolojiye, olu an patolojiye, yanda yaralanmalara, sa l k kurulu lar n n ve hekimlerin donan m ve yakla m biçimlerine göre farkll k gösterebilece ini ortaya koymay amaçlad k. Gereç ve Yöntem:Çal maya 1142 olgu al nd (839'u erkek (%73.5), 303'ü (%26.5) kad n). oraks travmalar n n nedenleri, sonuçta olu an patolojiler, e lik eden toraks d yaralanmalar ve tedavi yakla mlar incelendi, de i ik merkezli yay nlar ile tart ld . Bulgular: Olgular n 914'ü (%80) künt toraks travmas , 228'i (%20) penetran toraks travmas idi. En s k etiyolojik faktör motorlu araç kazalar na ba l geli en yaralanmalar olarak saptand ; 358 olgu (%31.3). Olgulardan 542'si (%47) acil müdaha-le sonras gö üs cerrahisi klini inde, 487'si (%42) ise müdahale sonras di er kliniklerce yat r larak izleme al nm t . 113 olgu (%9) ise acil serviste konservatif yakla mla ayaktan tedavi edilmi ti. En s k görülen patoloji kot k r idi; 409 hasta (%35). Olgular n 685 inde (%59.9) yanda travma saptand . En s k yanda travma tipi 261 olgu (%23) ile abdominal yaralanmalar saptand . Gö üs travmal olgular n 601 inde (%52) tüp torakostomi, 38 inde (%3.3) torakotomi (yatan hastalarda %7), 503'ünde (%44) ise konservatif tedavi uygulanm t . Morbidite 116 hastada, %9.6, mortalite ise 35 hastada %3.1 görüldü.Sonuç: Gö üs travmalar nda morbidite ve mortalite olgular n etiyolojisine, yanda travmalara, etiyolojik nedenlere, sa l k kurumlar n n donan m na ve hekimlerin yakla mlar na göre göre farkl l k göstermektedir. To discuss the causes of trauma , pathologies due to trauma, and diagnosis and treatment methods for the patients who had attended the emergency clinic due to thoracic trauma, together with the relevant literature. We aimed to reveal that mortalitiy and morbidity could be changed according to etiology, existing pathology, concomitant injuries, health institution equipment, and approach of doctors.Material and Method: 1142 cases (839 male (73.5%), 303 female (26.5%)) have been included in the study. Thoracic trauma etiologies, pathologies, concomitant extrathoracic injuries, and treatment approaches have been analysed and discussed, accompanied by reports from different centers.Results: 914 (80%) cases had obtuse thoracic trauma and 228 (20%) cases had penetrating thoracic trauma. The most frequent etiological factor was injuries due to motor vehicle accidents (358 cases (9%)). 542 (47%) cases were admitted to thoracic surgery clinic and 487 (42%) cases were admitted to other clinics after intervention. 113 (9%) ambulatory cases were treated conservatively in the emergency clinic. The most frequent pathology was costal fracture in 409 patients (35%). In 685 (59.9%) of cases, concomitant pathology was detected. The most frequent concomitant pathology was abdominal injuries in 261 (23%) cases. In all patients with thoracic trauma, tube thoracostomy was performed in 601 (52%) cases, ...
Bronchogenic cysts (BCs) may rarely cause some interesting and unusual complications. Although infection is a common complication of BCs, there are only two patients with BC infected with mycobacterium in English literature. Two intraparenchymal BCs infected with mycobacterium are presented here as unusual complications. Cystectomy was performed for the cysts. They were given antituberculosis treatment. No complication or recurrences were detected in follow up period.
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