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Öğe Acute liver failure caused serious mortality: A case report(2006) Al B.; Güloğlu C.; Yağmur Y.; Aldemir M.; Özhasenekler A.Acute liver failure is a rarely seen liver disease and requires emergency treatment. Acute liver failure must be diagnosed rapidly with patients' past history, clinical presentation, physical examination and laboratory evaluation. Treatment should be started immediately, otherwise in a short time hypotension, hypoglycemia, sepsis, encephalopathy, coagulopathy, intracranial and gastrointestinal bleeding would develop and patient would die. Generally the diagnosis of the patient is delayed and liver parenchymal mass decreases and part of liver would be lost. Multiple organ failure would develop with other complications. At this point patient has already lost the chance of life saving procedure i.e. liver transplantation. In this article a 36 years old patient with jaundice, vomiting, weakness, abnormal speaking had resorted to a hospital. He had been treated and sent home. The patient had become worse after a short time, and had resorted to our clinic. He was diagnosed as Acute Live Failure with hepatitis B. Six days later he died.Öğe Epidemiological characteristics of electrical injuries of patients applied to the emergency department(2006) Al B.; Aldemir M.; Güloğlu C.; Kara I.H.; Girgin S.BACKGROUND: In this study, we planned to determine the factors affecting the mortality, and morbidity of electrical injuries. METHODS; Medical records of 165 patients (126 males; 39 females; mean age 21.1 years; range 2.5 to 62 years), who were admitted to the Emergency Department of Dicle University School of Medicine for electrical injuries, between January 2003 and April 2004, were retrospectively reviewed. RESULTS: Among these patients, 60 (36.4%) were children, under 12 years old; 95 (57.6%) were adolescents and adults, and 10 (6%) were aged. Of the victims of electrical accidents, 29 (17.6%) were illiterate and 36 (21.8 %) were educated. Ninety-seven (58.8 %) patients were either graduates or still students of elementary, secondary or high school. The cause of exposure to electricity was accident in 99 (60%), and carelessness and parents' negligence in 66 (40%). Sixty-nine (41.8%) patients were exposed to high voltage, and 96 (58.2 %) to low voltage. Because of electrical injury 16 patients had first degree, 96 patients had second degree, and 86 patients had third degree burns. The most frequent complications were contractures of extremities (10.9%) and compartment syndrome (3.6%). Mortality rate was 9.1% (n=15). Eighty percent of the deaths were due to exposure to high voltage. A positive correlation was demonstrated between mortality and complications (p<0.001). Escarotomy was performed in 10 patients, fasciotomy in 16, and amputation in 9. Two of 5 patients who had intraabdominal hemorrhage underwent surgery. CONCLUSION: A serious education of the society with respect to conscious use of of electricity is the most efficient method to decrease electrical accidents.Öğe Factors affecting mortality in patients with gunshot injuries(2009) Eriş S.; Orak M.; Al B.; Güloğlu C.; Aldemir M.Objective: We planned this study in order to determine the factors affecting mortality in patients with gunshot injuries in more than one organ. Methods: We retrospectively reviewed the hospital records of 714 patients admitted to the Emergency Department of Dicle University, between January 2000 and December 2004. The factors that we considered would affect mortality such as age, sex, attempts suicide, long barrelled gun injuries, pellet injuries, contact/near contact shot, delayed admission time, presence of serious anemia and shock during admission, more than four entrance wounds, injury areas, serious cranial, thorax and abdominal injuries, vascular injuries in the extremities, administration of multiple transfusion, and trauma scores as GCS, RTS, PATI were analyzed. Results: As a result of unvaried statistical analyses, we determined that suicide attempts (p=0.001), presence of serious anemia (p=0.001) and shock (p=0.001) during admission, presence of serious cranial (p=0.001), thorax (p=0.001) and abdominal (p=0.001) injury, femoral artery injury (p=0.001), multiple blood transfusion (p=0.009), , GCS 0-7, GCS 8-12 (p=0.001) and low RTS (p=0.001)were significant factors affecting mortality. Conclusion: Multivariate analysis showed that serious anemia during admission, serious cranial injury, serious abdominal injury and low RTS were independently significant in predicting mortality (p<0.05).Öğe Heparin-induced thrombocytopenia and cerebrovasculer thromboembolia(2007) Al B.; Akil A.; Aritürk Z.; Akil E.Heparin-lnduced Thrombocytopenia is formed as a result of heparin and platelet- factor 4 complexes and the complex which antibodies interaction against. It threats life by causing artery and venous thromboembolia. It is diagnosed with clinical findings and the laboratory consequences that support clinical findings. When it is diagnosed the heparin therapy must be stopped. Nowadays, there are many drugs used as anticoagulation therapy such as lepirudin, argatroban danaparoid,-bivalurudin and fondaparinux. In this study, we discussed a patient with unstable angina pectoris in whom Heparin-lnduced Thrombocytopenia and cerebrovasculer thromboembolia was developed after heparin was applied.Öğe The management of patients with acute respiratory distress syndrome due to near-drowning: A case report(2006) Al B.; Güloğlu C.; Özhasenekler A.; Güllü M.N.Remaining under water causes serious morbidity and mortality. Drowning is a case of asphyxia caused by obstruction of airways due to fluid aspiration into lungs and/or laryngospasm within 24 hours after remaining under water resulting in death. Semi- drowning, however can result in death, partial or complete recovery. Even if little amount of water has been aspirated, acute respiratory distress syndrome (ARDS) and damage of lungs due to hypoxia and anoxia occurs. In this study we wanted to discus a case that had fallen down from a height and remained under water unconscious which developed acute respiratory distress syndrome after 8 to 10 hours. The case had been brought to a small town hospital. Although he had shortness of breath he wanted to be discharged by himself. At home he had become worse, and aspirated his vomitus. Afterwards, he was taken to our emergency room as acute respiratory distress syndrome. However, despite of all treatments he was lost.
