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Acil servisimize bir yıl süreyle başvuran travma dışı erişkin karın ağrılı hastaların incelemesi

Year 2015, Volume: 25 Issue: 1, 1 - 7, 01.03.2015

Sadiye Yolcu Türker Şermin Karacan Nesrin Gökben Beceren Hamit Hakan Armağan Önder Tomruk

Abstract

Amaç: Bu çalışmada acil servisimize karın ağrısı ile başvuran hastaların sıklığının, yatırılarak tedavi edilenlerin oranının, karın ağrısına neden olan hastalık dağılımının, demografik özelliklerinin, morbidite, mortalitesinin belirlenmesi ve takiplerde elde edilen sonuçların değerlendirilmesi amaçlandı. Gereç ve yöntem: Çalışmamızda 12 Mart 2012 ile 11 Mart 2013 tarihleri arasında acil servise başvuran 1080 hastanın demografik özellikleri, vital bulguları, fizik muayene bulguları, ağrı özellikleri, laboratuar tetkikleri, görüntüleme tetkikleri, kesin tanıları, konsultasyonları ve hastanın akıbeti bilgileri değerlendirildi. Bulgular: Hastaların yaşları incelendiğinde en genç hasta 18, en yaşlı hasta ise 97 yaşında idi. AS’e başvuran hastaların ortalama yaşı 41.9 olup, yaş dağılımının homojen olduğu görüldü. Hastalar cinsiyet açısından değerlendirildiğinde %39’unu kişi: 421 erkekler, %61’ini kişi: 659 kadınlar oluşturdu. Hastaların, karın ağrısı başladıktan sonra %12.9’u ilk 6 saatte, %42.4’ü 6-12 saat arasında, %44.7’si 12 saatten sonra acil servise başvurdukları tespit edildi. Sonuç: Çalışmamızla acil servise başvuran travma dışı erişkin hastalarda anamnez ve fizik muayenenin önemi tekrar ortaya kondu. Anamnez ve fizik muayeneyi takiben lüzum halinde acil hekimine yardımcı olabilecek gerekli olan laboratuvar tetkikleri, görüntüleme yöntemleri ve konsultasyonlar süratle yapılıp hastanın kesin tanısı konup gerekli işlemlerin yapılmasının önemi ortaya çıkmıştır. Ayrıca karın ağrılı hastaların acil servise karın ağrısını takiben erken dönemde başvurmadığı tespit edilmiştir, bu konuda halkımızın bilgilendirilmesi ve bu konularda eğitim verilmesi gerekliliği ortaya çıkmıştır. Bu alanda daha geniş çaplı araştırmalara ihtiyaç vardır

Keywords

Acil servis laboratuar karın ağrısı

References

  • Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults . Am Family Physician 2008;77:971-8.
  • Graff LG, Robinson D. Abdominal pain and emergency depart- ment evaluation. Emerg Med Clin North Am 2001;19:123-36.
  • Lameris W, Van Randen A, Dijkgraaf MG, Bossuyt PM, Stoker J, Boermeester MA. Optimization of diagnostic imaging use in pa- tients with acute abdominal pain (OPTIMA): Design and rationa- le. BMC Emerg Med 2007;:9.
  • Gallagher EJ. Acute abdominal pain. in: Emergency Medicine. Tintinalli JE, Stapczynski JS. (Eds). A Comprehensive Study Guıde 6th ed NYMGH, 487-501.
  • Knight JS, Lamparelli MJ. Acute abdominal pain for the general physician-who, when and how to refer to the on-call surgeon. Acute Medicine 2005;4:37-9.
  • Ertekin C, Kalaycı G, Acarlı K, Demirkol K, Mercan S, Özmen V, Sökücü N. (Eds). Genel cerrahi:Akut karın hastalıkları. Nopel tıp kitabevleri.İstanbul. 2002:195-215.
  • Means RT. Iron deficiency anemia. Hematology 2013;18:305-6.
  • Kalafat H. Akut karın. Acil Hekimlik Sempozyumu. İ.Ü.Cerrahpa- şa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri İstanbul. 1997:221- 31.
  • Karnath B, Mileski W. Acute abdominal pain. Hospital Physician 2002;38:45-50.
  • Bugliosi TF, Meloy TD, Vukov LF. Acute abdominal pain in the elderly. Ann Emerg Med 1990;19:1383-6.
  • Cha RH, Kim S, Ryu DR, Eun Oh J, Han SY. Association between blood pressure and target organ damage in patients with chronic kidney disease and hypertension: results of the APrODiTe study. Hypertens Res 2014;37:172-8.
  • Fermann GJ. Abdominal trauma. In: Emergency medicine: an ap- proach to clinical problem solving, 2nd ed. Chapter 43. Hamilton, Sanders, Strange and Trott, (Eds.). 2003;741-57.
  • Glaser S, Schaper C, Obst A, Ittermann T, Volzke H, Felix SB. Im- pact of different definitions of airflow limitation on the prevalence of chronic obstructive pulmonary disease in the general populati- on. Respiration 2010;80:292-300.
  • Anaya P, Moliterno DJ. The evolving role of cardiac troponin in the evaluation of cardiac disorders. Curr Cardiol Rep 2013;15:420.
  • Jiang W, Lv S, Sun L, Singer G, Xu C, Lu X. Diagnosis and Treat- ment of Retroperitoneal Ectopic Pregnancy: Review of the Litera- ture. Gynecol Obstet Invest 2014;77:205-10.
  • Tintinalli JE, Stapczynski JS, Ma O.J., Cline DM, Cydulka RK, Me- ckler GD. Tintinalli Acil Tıp. Nobel Tıp Kitabevi. 2013:522.

Year 2015, Volume: 25 Issue: 1, 1 - 7, 01.03.2015

Sadiye Yolcu Türker Şermin Karacan Nesrin Gökben Beceren Hamit Hakan Armağan Önder Tomruk

Abstract

Objectives: In this study, it was aimed to determine the frequency of the patients who came with the complaints of abdominal pain to our emergency service, the rate of those who hospitalized, distribution of disease which caused the abdominal pain, demographic characteristics, morbidity and mortality, to evaluate resaults which were received from the observations. Material and methods: De- mographic characteristics, vital findings, physical examination findings, pain etymology, labratory and imaging tests, final diagnoses, consultations and the general condition of 1080 patients were evaluated between 12 March 2012-11March 2013. Results: While look- ing over the ages, youngest and oldest patient were 18 and 97 years old, respectively. The patients who admitted to emergency service were avaragely 41,9 years old and age pattern distribution observed homogeneous. While the patients classified from the perspective of gender, man are made up 39% 421 people , women are 61% 659 people . It has identified that the patients after the start of ab- dominal pain 12.9% first 6 hours, 42.4% between 6-12 hours, 44,7% after 12 hours were admitted to emergency service. Conclusion: In this study the importance of anamnesis and physical examination on the adult patients except trauma cases who admitted emer- gency service with the complaints of abdominal pain were stated. When anamnesis and physical examination are required to asist in case of needs of emergency physician, laboratory tests, imaging methods and consultations should be done quickly and put patient’s final diagnosis, take necessary actions, were expressed. Finally, it is seen that the patients who have abdominal pain were not consulted emergency service in early period were identified. Therefore, further comprehensive studies on this issue are needed

Keywords

Emergency service laboratory abdominal pain

References

  • Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults . Am Family Physician 2008;77:971-8.
  • Graff LG, Robinson D. Abdominal pain and emergency depart- ment evaluation. Emerg Med Clin North Am 2001;19:123-36.
  • Lameris W, Van Randen A, Dijkgraaf MG, Bossuyt PM, Stoker J, Boermeester MA. Optimization of diagnostic imaging use in pa- tients with acute abdominal pain (OPTIMA): Design and rationa- le. BMC Emerg Med 2007;:9.
  • Gallagher EJ. Acute abdominal pain. in: Emergency Medicine. Tintinalli JE, Stapczynski JS. (Eds). A Comprehensive Study Guıde 6th ed NYMGH, 487-501.
  • Knight JS, Lamparelli MJ. Acute abdominal pain for the general physician-who, when and how to refer to the on-call surgeon. Acute Medicine 2005;4:37-9.
  • Ertekin C, Kalaycı G, Acarlı K, Demirkol K, Mercan S, Özmen V, Sökücü N. (Eds). Genel cerrahi:Akut karın hastalıkları. Nopel tıp kitabevleri.İstanbul. 2002:195-215.
  • Means RT. Iron deficiency anemia. Hematology 2013;18:305-6.
  • Kalafat H. Akut karın. Acil Hekimlik Sempozyumu. İ.Ü.Cerrahpa- şa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri İstanbul. 1997:221- 31.
  • Karnath B, Mileski W. Acute abdominal pain. Hospital Physician 2002;38:45-50.
  • Bugliosi TF, Meloy TD, Vukov LF. Acute abdominal pain in the elderly. Ann Emerg Med 1990;19:1383-6.
  • Cha RH, Kim S, Ryu DR, Eun Oh J, Han SY. Association between blood pressure and target organ damage in patients with chronic kidney disease and hypertension: results of the APrODiTe study. Hypertens Res 2014;37:172-8.
  • Fermann GJ. Abdominal trauma. In: Emergency medicine: an ap- proach to clinical problem solving, 2nd ed. Chapter 43. Hamilton, Sanders, Strange and Trott, (Eds.). 2003;741-57.
  • Glaser S, Schaper C, Obst A, Ittermann T, Volzke H, Felix SB. Im- pact of different definitions of airflow limitation on the prevalence of chronic obstructive pulmonary disease in the general populati- on. Respiration 2010;80:292-300.
  • Anaya P, Moliterno DJ. The evolving role of cardiac troponin in the evaluation of cardiac disorders. Curr Cardiol Rep 2013;15:420.
  • Jiang W, Lv S, Sun L, Singer G, Xu C, Lu X. Diagnosis and Treat- ment of Retroperitoneal Ectopic Pregnancy: Review of the Litera- ture. Gynecol Obstet Invest 2014;77:205-10.
  • Tintinalli JE, Stapczynski JS, Ma O.J., Cline DM, Cydulka RK, Me- ckler GD. Tintinalli Acil Tıp. Nobel Tıp Kitabevi. 2013:522.
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Original Article
Authors

Sadiye Yolcu This is me

Türker Şermin Karacan This is me

Nesrin Gökben Beceren This is me

Hamit Hakan Armağan This is me

Önder Tomruk This is me

Publication Date March 1, 2015
Published in Issue Year 2015 Volume: 25 Issue: 1

Cite

Vancouver Yolcu S, Karacan TŞ, Beceren NG, Armağan HH, Tomruk Ö. Acil servisimize bir yıl süreyle başvuran travma dışı erişkin karın ağrılı hastaların incelemesi. Genel Tıp Derg. 2015;25(1):1-7.

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