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Laparoscopic Endoscopic Surgical Science lgin Bir Penetran Kalp Yaralanmas ve Masif Transfzyon: Olgu Sunumu [Respir Case Rep]
Respir Case Rep. 2017; 6(1): 64-67 | DOI: 10.5505/respircase.2017.93899

lgin Bir Penetran Kalp Yaralanmas ve Masif Transfzyon: Olgu Sunumu

Muharrem akmak1, Mehmet Nail Kandemir1, Atilla Durkan1, Blent ztrk1, Sedat Kaya2
1Gazi Yaargil Eitim ve Aratrma Hastanesi, Gs Cerrahisi Klinii, Diyarbakr
2Gazi Yaargil Eitim ve Aratrma Hastanesi, Anestezi ve Reanimasyon Klinii, Diyarbakr

Penetran kalp yaralanmalarnda (PKY) sklkla sa ventrikl yaralanmaktadr. En sk intrakardiyak yaralanma yeri interventrikler septumdur. Semptomlar, yaralanmann tipine, hastann transport sresine, miyokarddaki laserasyonun boyutuna, perikardial tamponadn varlna, yanda organ yaralanmalarna ve kaybedilen kann miktarna baldr. Cerrahiyle birlikte kaybedilen kann karlanmas hayati neme sahiptir. Masif transfzyon, kan kaybn karlamada kullanlan bazen metabolik yan etkilere neden olabilen bir tedavi yaklamdr. Burada, PKY nedeniyle 24 saat iinde kez ameliyat edilen ve masif transfzyon yaplan olguyu paylamay amaladk.

Anahtar Kelimeler: Penetran Kalp Yaralanmas, sternotomi, masif Transfzyon

An Interesting Penetrating Cardiac Injury and Massive Transfusion: A Case Report

Muharrem akmak1, Mehmet Nail Kandemir1, Atilla Durkan1, Blent ztrk1, Sedat Kaya2
1Department of Thoracic Surgery, Gazi Yaargil Education and Research Hospital, Diyarbakr, Turkey
2Department of Anesthesiology and Reanimation, Gazi Yaargil Education and Research Hospital, Diyarbakr, Turkey

The right ventricle is often injured in the penetrating cardiac injuries (PCIs). The most common place of intracardiac injury is interventricular septum. Symptoms vary depending on the type of injury, patients' transportation time, the size of the myocardial laceration, presence of pericardial tamponade, and the associated organ injury and the amount of blood lost. Compensation of blood loss during surgery is vital. Massive transfusion is a method which is used to compensate for blood loss and can sometimes cause metabolic side effects. Herein, we report a case who was operated three times due to a PCI within 24 hours and underwent massive transfusion.

Keywords: Penetrating Cardiac Injuries, sternotomy, massive Transfusion

Muharrem akmak, Mehmet Nail Kandemir, Atilla Durkan, Blent ztrk, Sedat Kaya. An Interesting Penetrating Cardiac Injury and Massive Transfusion: A Case Report. Respir Case Rep. 2017; 6(1): 64-67

Sorumlu Yazar: Muharrem akmak, Trkiye
Makale Dili: ngilizce
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