Nötrofil-Lenfosit Oranlarının, Platelet Belirteçlerinin ve Sodyum Düzeyinin Febril Nöbetler ile İlişkisi

Year 2021, Volume: 31 Issue: 3, 216 - 220, 20.09.2021

Esra Sarıgeçili Habibe Koç Uçar Sinem Sarı Gökay

https://doi.org/10.54005/geneltip.996495

Abstract

Amaç: Çocuk acil servise febril nöbet ile başvuran hastaların laboratuvar parametrelerini belirlemek ve bunların basit ve komplike nöbet ayrımındaki önemini göstermektir.

Gereç ve Yöntem: Aralık 2019-Mart 2020 tarihleri arasında Adana Şehir Hastanesi Çocuk Acil Bölümü’ne febril nöbet ile başvuran hastaların başvurudan sonraki ilk bir saat içindeki nötrofil-lenfosit oranları, platelet değerleri ve sodyum düzeyleri incelendi.

Bulgular: 138 basit ve komplike febril nöbet hastası çalışmaya alındı. 111’i (% 80,4) basit febril nöbet 27’si (% 19,5) komplike febril nöbetti. Nötrofil/lenfosit oranları ile Mean Platelet volüm/platelet oranları arasında basit ve komplike nöbet ayrım bakımından anlamlı bir farklılık saptanmadı (p> 0,05). Ancak febril nöbet ile başvuran hastaların % 65,2’de hiponatremi olup basit ve komplike nöbetler bakımından anlamlı farklılık mevcuttu (p:0,006). Tekrarlayan nöbet riski yönünden farklılık saptanmadı (p> 0,05).

Sonuç: Hiponatreminin febril nöbete yatkınlık sağlayan bir neden olabileceği düşünüldü.

Keywords

Çocuk acil, hiponatremi, platelet, nötrofil, lenfosit

The Association of Neutrophil-Lymphocyte Ratios, Platelet Markers and Sodium Level with Febrile Seizures

Abstract

Aim: The aim of this study was to determine laboratory parameters of the patients with febrile seizure who was applied to the pediatric emergency department and to show their importance in the distinction of the simple and complicated febrile seizure.

Material and Methods: The neutrophil-lymphocyte ratios, platelet levels and sodium values of the ​​patients who were applied to the Adana City Hospital Training and Research Hospital pediatric emergency department with febrile seizure between December 2019-March 2020 were examined with in the first hour.

Results: 138 simple and complicated febrile seizure patients were included in the study. 111 (% 80,4) were simple febrile seizures and 27 (% 19,5) were complicated febrile seizures. We did not find any significant difference between neutrophil/lymphocyte ratios and mean platelet volume / platelet ratios in the distinction of simple and complicated febrile seizure (p> 0,05). However, % 65,2 of the patients presenting with febrile seizures had hyponatremia and there was a significant difference between the simple and complicated febrile seizures (p:0, 006). There was no difference in terms of seizure recurrence risk (p> 0,05).

Conclusions: Hyponatremia was thought to be an underlying cause in the etiology of acute febrile seizure.

Keywords

Pediatric emergency, hyponatremia, platelet, neutrophil, lymphocyte

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