Çocuk Acil Ünitesine Febril Konvülziyon Tanısıyla Başvuran Beş Ay-Beş Yaş Arasındaki Çocukların Retrospektif Olarak İncelenmesi

Year 2011, , 114 - 121, 01.07.2011

Berkant Öztürk Burçin Nalbantoğlu Eda Çelik Güzel Sami Hatipoğlu Ayşin Nalbantoğlu

https://doi.org/10.5222/j.child.2011.114

Abstract

Amaç: Bu çalışmamızda acil çocuk ünitesine başvurarak febril konvülziyon FK tanısı alan hastaların özelliklerini saptayarak, hastaların FK tanısı alırken yapılan hataları ve izlemde değişik tedavi alternatiflerinin etkinliklerini değerlendirmeyi amaçladık. Yöntemler: Bir yıllık zaman dilimi içinde çocuk acil ünitesine FK nedeniyle başvurmuş ve müşahadeye alınmış 326 çocuk çalışmaya alındı. Çalışmaya alınacak olan çocukların yaş sınırı 5 ay - 5 yaş 60 ay olarak belirlendi. Daha önceden bilinen konjenital sorunları, kafa travması öyküsü, mental retardasyonu olan vakalar çalışmaya alınmadı. Vakalar yaş, cinsiyet, ateş düzeyi, sodyum ve kalsiyum düzeyi, CRP düzeyi, Lökosit sayısı, serum Glukoz düzeyi, aile öyküsü, yapılan tedavi, müşahade altında kalış süresi ve sonrasında yapılan yatış yönünden incelendi. İstatistiksel analizler için SPSS Statistical Package for Social Sciences for Windows 13.0 programı kullanıldı. Bu çalışma Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Etik Kurul tarafından onaylandı. Bulgular: Vakaların ortalama yaşı 25.0±15.3 aydır. Vakaların 147 % 45.1 ’si kız, 179 % 54.9 ’u ise erkektir. Çocukların 29 % 8.9 ’unda aile öyküsü görülmekteydi. Ateş düzeyleri 36.8 ile 41 derece arasında değişmekte olup, ortalama 38.49±0.64’tür. ÜSYE % 75.8’lik oranla konvülziyona en sık neden olan infeksiyon olarak bulunmuştur. Konvülziyon tipine göre tedavi şekilleri arasında istatistiksel olarak anlamlı farklılık görülmektedir p

Keywords

Ateş, konvülziyon, çocuklar

Retrospective Analysis of Febril Convulsion Patients Aged Between 5 Months-5 Years Old

Abstract

Objective: The purpose of this study was to determine the demographic characteristics of patients admitted to emergency unit with febrile convulsions, and the mistakes during diagnosis so as to evaluate various treatment modalities. Methods: The study was conducted with 326 patients aged 5 months to 5 years admitted to emergency unit because of febrile convulsions. Patients with congenital anomalies, history of head trauma and mental retardation were excluded from the study. Patients were evaluated as for age, gender, temperature, sodium and calcium levels, C-reactive protein, leucocyte count, serum glucose, family history, treatment and hospitalization. SPSS for Windows 13.0 software programme was used for statistical analysis. This study was approved by the ethics committee of the Bakırköy Dr. Sadi Konuk Hospital. Results: Mean age of the cases was 25.0±15.3 months, while 147 45.1 % of them were female and 179 54.9 % of them were male, and 29 8.9 % patients had familial history of febrile convulsions. Body temperature levels changed between 36.8 Co and 41°C and mean temperature was 38.49±0.64. Upper respiratory tract infections were found to be the most common causes of the febrile convulsions with a rate of 75.8 %. Paracetamol use was significantly higher in simple convulsions, however midazolam use was significantly higher in complicated convulsions p

Keywords

Fever, convulsion, children

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