. 2008; 14(3): 216-220 | |||
Kardiyopulmoner resüsitasyona bağlı göğüs kafesi hasarlanmalarının sıklığı: Adli otopsi sonuçlarıBora Boz1, Bülent Erdur2, Kemalettin Acar1, Ahmet Ergin3, İbrahim Türkçüer2, Nesrin Ergin41Pamukkale Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı, Denizli2Pamukkale Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Denizli 3Pamukkale Üniversitesi Tıp Fakültesi Halk Sağlığı Anabilim Dalı, Denizli 4Servergazi Devlet Hastanesi Nöroloji Kliniği, Denizli AMAÇ: Kot ve sternum kırıkları, erişkinlerde kardiyopulmoner resüsitasyona (KPR) bağlı sık rastlanan kas-iskelet sisteminin göğüs kafesi komplikasyonlarındandır. Çalışmada kardiyak arest olgularının tedavisinde uygulanan klasik kapalı göğüs basısı nedeniyle oluşan kot ve sternum kırıklarının sıklığının saptanması amaçlandı. Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsyBora Boz1, Bülent Erdur2, Kemalettin Acar1, Ahmet Ergin3, İbrahim Türkçüer2, Nesrin Ergin41Department of Forensic Medicine, Pamukkale University, Denizli, Turkey2Department of Emergency Medicine, Pamukkale University, Denizli, Turkey 3Department of Public Health, Pamukkale University, Denizli, Turkey 4City Hospital, Servergazi, Denizli, Turkey BACKGROUND: Fractured ribs and sternum are frequent complications of thoracic compression during CPR (cardiopulmonary resuscitation) in adults. This study was conducted to determine the incidence of rib and sternal fractures after conventional closed-chest compression in the treatment of cardiac arrest. METHODS: We reviewed the forensic autopsy findings of 231 deaths referred to the Pamukkale University Department of Forensic Medicine over a 12-month period, 2004-2005. CPR-related chest injuries comprising rib and sternum fractures, ecchymosis and subcostal hemorrhage were compared retrospectively in 104 patients. RESULTS: Ninety-one (87.5%) of the 104 patients were adults, and 13 patients (12.5%) were children. The mean (SD) age in the pediatric group (5F/8M) was 5.48 (±5.96) and in the adult group (18F/73M) was 44.88 (±18.31). Forty-four (42.3%) of the 104 patients died of traumatic cause and 60 (57.7%) of non-traumatic cause. Ecchymosis was present in 26 (28.8%) patients, subcostal hemorrhage in 16 (17.6%) patients and fractures (sternal and costal) in 12 (13.2%) patients in adults. There were no significant differences between groups according to age, sex and traumatic-nontraumatic cause in terms of skeletal chest injuries associated with CPR in adult patients (p>0.05). CONCLUSION: This study shows a low incidence of rib and sternal fracture after closed-chest compression in the treatment of cardiac arrest in forensic autopsy cases. Keywords: Autopsy, cardiac arrest; cardiopulmonary resuscitation; chest injuries; fractures/rib/sternum.Bora Boz, Bülent Erdur, Kemalettin Acar, Ahmet Ergin, İbrahim Türkçüer, Nesrin Ergin. Frequency of skeletal chest injuries associated with cardiopulmonary resuscitation: forensic autopsy. . 2008; 14(3): 216-220 Sorumlu Yazar: İbrahim Türkçüer, Türkiye |
|