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

Ýlginç Bir Penetran Kalp Yaralanmasý ve Masif Transfüzyon: Olgu Sunumu

Muharrem Çakmak1, Mehmet Nail Kandemir1, Atilla Durkan1, Bülent Öztürk1, Sedat Kaya2
1Gazi Yaþargil Eðitim ve Araþtýrma Hastanesi, Göðüs Cerrahisi Kliniði, Diyarbakýr
2Gazi Yaþargil Eðitim ve Araþtýrma Hastanesi, Anestezi ve Reanimasyon Kliniði, Diyarbakýr

Penetran kalp yaralanmalarýnda (PKY) sýklýkla sað ventrikül yaralanmaktadýr. En sýk intrakardiyak yaralanma yeri interventriküler septumdur. Semptomlar, yaralanmanýn tipine, hastanýn transport süresine, miyokarddaki laserasyonun boyutuna, perikardial tamponadýn varlýðýna, yandaþ organ yaralanmalarýna ve kaybedilen kanýn miktarýna baðlýdýr. Cerrahiyle birlikte kaybedilen kanýn karþýlanmasý hayati öneme sahiptir. Masif transfüzyon, kan kaybýný karþýlamada kullanýlan bazen metabolik yan etkilere neden olabilen bir tedavi yaklaþýmýdýr. Burada, PKY nedeniyle 24 saat içinde üç kez ameliyat edilen ve masif transfüzyon yapýlan olguyu paylaþmayý amaçladýk.

Anahtar Kelimeler: Penetran Kalp Yaralanmasý, sternotomi, masif Transfüzyon

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

Muharrem Çakmak1, Mehmet Nail Kandemir1, Atilla Durkan1, Bülent Öztürk1, Sedat Kaya2
1Department of Thoracic Surgery, Gazi Yaþargil Education and Research Hospital, Diyarbakýr, Turkey
2Department of Anesthesiology and Reanimation, Gazi Yaþargil Education and Research Hospital, Diyarbakýr, 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 Çakmak, Mehmet Nail Kandemir, Atilla Durkan, Bülent Öztürk, Sedat Kaya. An Interesting Penetrating Cardiac Injury and Massive Transfusion: A Case Report. Respir Case Rep. 2017; 6(1): 64-67

Sorumlu Yazar: Muharrem Çakmak, Türkiye
Makale Dili: Ýngilizce
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