Evaluation of Electrolyte Imbalance and Blood Gas Parameters in Patients Who Had Rotavirus Gastroenteritis

Yıl 2023, , 656 - 663, 31.12.2023

Bestami Sari Alaaddin Yorulmaz

https://doi.org/10.54005/geneltip.1203129

Öz

Aim: In the present study, the cases admitted to the hospital because of acute gastroenteritis and diagnosed with common RVGE were evaluated in terms of demographic, epidemiological, clinical, and laboratory data.
Methods: The clinical and laboratory data of the cases who applied to Selçuk University Faculty of Medicine, Pediatric Emergency Clinic because of acute gastroenteritis aged 0-18 were evaluated retrospectively in the study. Clinical findings, time of admission, place of observation, blood gas and electrolyte levels, electrolyte imbalance, and length of hospital stays of the patients were recorded.
Results: Among the AGE patients who were included in the study, 148 (61.2%) were male and 94 (38.8%) were female. The incidence of hypokalemia in patients who had RV(+) GE was statistically significant. Statistically significant differences were detected between the groups in terms of creatinine, potassium, AST, ALT and albumin values of biochemical parameters. When the blood gas analysis of patients who had AGE was evaluated, although acidosis was detected in 24 (9.9%) patients who had pH value, alkalosis was detected in 27 (11.2%) patients.
Conclusion: Cases with metabolic acidosis in rotavirus gastroenteritis are hospitalized more frequently, and for this reason, blood gas studies in cases of RV gastroenteritis will guide clinicians.

Anahtar Kelimeler

pediatric, rotavirus gastroenteritis, blood gase

Rotavirus Gastroenteriti Olan Hastalarda Elektrolit Dengesizliği ve Kan Gazı Parametrelerinin Değerlendirilmesi

Öz

Amaç: Bu çalışmada akut gastroenterit nedeniyle hastaneye başvuran ve yaygın RVGE tanısı konulan olgular demografik, epidemiyolojik, klinik ve laboratuvar verileri açısından değerlendirildi.
Yöntemler: Çalışmada Selçuk Üniversitesi Tıp Fakültesi Çocuk Acil Kliniğine akut gastroenterit nedeniyle başvuran 0-18 yaş arası olguların klinik ve laboratuvar verileri retrospektif olarak değerlendirildi. Hastaların klinik bulguları, başvuru zamanı, gözlem yeri, kan gazı ve elektrolit düzeyleri, elektrolit dengesizliği ve hastanede kalış süreleri kaydedildi.
Bulgular: Çalışmaya alınan AGE hastalarının 148'i (%61,2) erkek, 94'ü (%38,8) kadındı. RV(+) GE olan hastalarda hipokalemi insidansı istatistiksel olarak anlamlıydı. Biyokimyasal parametrelerin kreatinin, potasyum, AST, ALT ve albümin değerleri açısından gruplar arasında istatistiksel olarak anlamlı farklılıklar tespit edildi. AGE olan hastaların kan gazı analizi değerlendirildiğinde pH değeri olan 24 (%9,9) hastada asidoz saptanmasına rağmen 27 (%11,2) hastada alkaloz saptandı.
Sonuç: Rotavirüs gastroenteritinde metabolik asidozlu olgular daha sık hastaneye yatırılmaktadır ve bu nedenle RV gastroenterit olgularında kan gazı çalışmaları klinisyenlere yol gösterici olacaktır.

Anahtar Kelimeler

Çocuk, Rotavirüs gastroenteriti, Kan gazı

Kaynakça

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