Acil Serviste Pulmoner Tromboembolili Hastaların Farklı Puanlama Araçları İle Değerlendirilmesi

Year 2018, Volume: 28 Issue: 4, 151 - 156, 01.12.2018

Muhammet Raşit Özer Mehmet Ergin Fatih Altunay Aliye Nur Gökal Zerrin Defne Dündar Emin Fatih Vişneci Sedat Koçak Mehmet Gül

Abstract

Amaç: Acil serviste pulmoner tromboemboli PTE tanısı alan hastaların mortalite ile demografik, klinik, laboratuvar ve skorlama özellikleri arasındaki ilişkiyi araştırmak.Gereç ve Yöntem: Bu retrospektif çalışmada, 2012-2015 yılları arasında acil servise başvuran torasik bilgisayarlı tomografi BT veya pulmoner BT anjiyografisi ile PTE tanısı alan 166 hasta çalışmaya dahil edildi. Hasta grubu Grup I sağ kalan ve Grup -II hayatta kalmayan olarak iki gruba ayrıldı. Hematolojik ve biyokimyasal laboratuvar parametreleri, laktat içeren arteriyel kan gazı değerleri ve tüm hastaların klinik şiddeti MWS, PESI ve MEWS skorlama sistemleri kullanılarak değerlendirildi.Bulgular: Arteriyel oksijen basıncı PaO2 ve laktat düzeyleri açısından, hasta grupları arasında istatistiksel olarak anlamlı bir fark bulundu. Grup II'de, PESI ve MEWS skorları Grup-I hastaları ile karşılaştırıldığında anlamlı olarak yüksek bulundu. Grup II hastalarında MWS skoru daha yüksekti.Sonuç: Burada kullanılan parametreler ve skorlama araçları sayesinde, PTE olgularını tanılamayı amaçladık. PTE'nin bu bulguların yardımıyla klinisyen tarafından daha erken teşhis edildiğinde, mortalite ve morbidite oranlarının azaltılacağını ve tedavinin daha etkili olacağını düşünmekteyiz

Keywords

Acil servis, MEWS, PESI, laktat, lulmoner tromboembolizm

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