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ACİL SERVİSLERİN ÖNEMLİ SOSYO- KÜLTÜREL BİR PROBLEMİ: KESİCİ-DELİCİ ALET YARALANMALARI

  • Cahfer Güloğlu
  • Mustafa Aldemir
  • Yusuf Yağmur

Eurasian J Emerg Med 2003;2(2):28-32

Sharp-knife injuries are major public problems in the emergency department causing serious problems. The aim of this study was to evaluate injury types, injured site, conservative and surgical treatments results, and social demographic data's of patients with sharp knife injuries.

The medical record of patients with sharp knife injuries admitted to Dicle university department of Emergency between January- December 2000 was evaluated retrospectively. SPSS 7.5 software was used for statistical evaluation. X2 (Fisher exact test) was used for statistical comperation. Data's were expressed as mean± SD. P value less than 0.05 was accepted significant statistically. 189 patients (174 Male, 15 female) were entered into this study. The mean age of patients was 25.5± 10.1 years (range 3-61). Among 189 patients with sharp knife injuries, 94 patients (49.7 %) were thoracic injuries; 48 (25.3 %) were abdominal injuries; and 85 patient (45%) were extremity injuries. 22 patients with thoracic injuries had single entry and 21 had multiple entries into thorax. 18 patients with abdominal injuries had single injury and 17 had multiple injuries. Local exploration and primary suture were applied to 79 (41.9) patients with sharp knife injuries.

As a conclusion, sharp knife injuries are common in young age and mainly injured site is abdominal and thoracal site. A careful examination and local exploration is important to evaluate sharp knife wound and most of patients needs only local exploration and primary suture.

Keywords: Shape-Knife, injuries, injury Site