genel tıp derg Genel Tıp Dergisi 2602-3741 Selcuk University Çocuklarda Akrep Zehirlenmeleri ve Yönetimi Scorpion envenomation in children and management Tolunay İlknur Antalya Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği, Antalya Tolunay Orkun Adana Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği2 , Adana Bayram Yasin Antalya Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği, Antalya Çelik Tamer Adana Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği2 , Adana Kılıç Ayla Adana Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği2 , Adana Çelik Ümit Adana Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği2 , Adana 01 01 2014 24 1 15 21 Copyright © 1990, Genel Tıp Dergisi 1990 Genel Tıp Dergisi

Amaç: Akrep zehirlenmesi tanısı ile Çocuk Yoğun Bakım Ünitemize yatan hastaları geriye dönük olarak inceleyerek hastaların klinik ve laboratuvar bulgularını, tedavi yöntemlerini ve sonuçlarını değerlendirmek. Gereç ve yöntem: Ocak 2012-Ekim 2013 tarihleri arasında Çocuk Yoğun Bakım ve Yoğun Bakım Servislerinde akrep zehirlenmesi tanısı ile tedavi edilmiş olan 30 hasta çalışmaya dahil edildi. Bu hastaların klinik ve laboratuvar bulguları, tedavi yöntemleri incelendi. Bulgular: Hastaların yaşları ortalama 6,6±4 yıl olup, 12’ si %40 kız, 18’ i %60 erkek idi. Tüm hastalara antivenom tedavisi uygulandı. 9 hastaya prazosin, 8 hastaya dopamin, 3 hastaya dopamin ve dobutamin tedavisi uygulandı. Vakaların 5’ünde kalp yetmezliği ve 2’sinde akciğer ödemi gelişti. Laboratuvar sonuçları; hemoglobin 11,8±1 g/dl 9,6-13,1 , lökosit 10,5±3,1 bin/mm3 6,3-12,6 , trombosit 284±42 bin/mm3 , kan şekeri 135±50 mg/dL , kreatin kinaz miyokard izoenzimi CK-MB 40±22 U/L

Objectives: Retrospective examination of patients hospitalized to pediatric intensive care unit with scorpion envenomation and evaluation of clinical and laboratory findings of them, their treatment methods and results. Material and methods: Thirty patients treated with scorpion envenomation between January 2012 and October 2013 at pediatric intensive care and intensive care units were included in the study. Clinical and laboratory findings and treatments methods of these patients were examined. Results: Average age of patients was 6,6±4 years. Antivenom treatment was applied to all patients. Prazosin was applied to 9 patients, dopamine was applied to 8 patients and dopamine plus dobutamine treatment was applied to 3 patients. In 5 cases cardiac insufficiency and in 2 cases pulmonary oedema occurred. Laboratory results were as follows: haemoglobin 11,8±1 g/dl 9,6-13,1 , leukocyte 10,5±3,1x109L 6,3- 12,6 , thrombocyte 284±42x109L , glucose 135±50 mg/dL , creatine kinase-myocardial band 40±22 U/L

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