Kocaeli Üniversitesine Kostik Madde İçme Nedeniyle Başvuran Hastaların Değerlendirilmesi: Retrospektif Çalışma

Yıl 2021, Cilt: 13 Sayı: 3, 162 - 170, 26.12.2021

Ufuk Şenel Melih Tugay

Öz

Çalışmamızda 2002- 2005 tarihleri arasında kliniğimize koroziv madde içme şikayeti ile başvuran olgular geriye dönük olarak değerlendirilmiştir.
Gereç ve Yöntem: Şubat 2002-Kasım 2005 tarihleri arasında Kocaeli Üniversitesi Tıp Fakültesi Çocuk Cerrahisi Kliniğine, kostik madde içme şikayeti ile başvuran 214 hastanın tam olarak bilgilerine ulaşılan 179’u çalışmaya alınmıştır.
Bulgular:Bilgisine ulaşılan 179 hastanın; 112’si erkek (%62,6), 67’si kız (%37,4)’dır. En küçük olgu 6 aylık, en büyük olgu 16 yaşındadır. Yaş ortalaması 3,35±2,6 yıl, koroziv madde içme olayı 149 hastada kendi evlerinde (%83,2),24 hasta misafirlikte (%13,4), 5(%2,8) hasta dış mekanda gerçekleştiği izlendi.İçilen maddeler sınıflandırıldığında 57(%31,8) hasta yağ çöz, 44(%24) hasta çamaşır suyu, 13(7,3) hasta kireç çözücü, 11(%6,1), hasta lavabo açıcı 8(%4,5) hasta porçöz, 6 (%3,4) hasta tuz ruhu, 6(%3,4) hasta sirke ruhu, 6(%3,4) hasta bulaşık parlatıcı, 6(%3,4) hasta permanganat, 5(%2,8) hasta kosla, 17 hasta ise değişik kimyasallar içtiği izlendi.Hastalardan 64 tanesi medical tedavi verilmeyip takip edilirken 115 hasta medical tedavi verimek amaçlı yatışı yapılıp, 82 hastaya özofagoskopi yapılmştır. Özofagoskopi yapılan hastalardan 29(%16,2) hastada yanık izlenmemiş grade 0 olarak kabul edilmiştir. 12(%6,7) hastada grade 1 yanik izlenmiştir, 41(%22,9) hastada grade 2 yanık izlendi. Hastaların uzun dönem takiplerinde şikayet ve bulgulara gore yapılan özofagus grafilerinde 65 hastada normal özofagus bulguları izlenmiştir.20 hastada ise özofagus darlığı tespit edilmiştir.
Sonuç: Özofagus hasarı sonrası tıbbi, ekonomik ve sosyal yönden çok ciddi sorunlar ortaya çıkmaktadır. Kazalar daha çok evde, ailelerin kostik maddeleri uygun olmayan koşullarda saklamaları sonucu gerçekleşmektedir.

Anahtar Kelimeler

Kostik madde, tedavi, Retrospektif

Evaluation of Patients Who Attended to Kocaeli University Due to Drinking Caustic Substance: A Retrospective Study

Öz

Introduction:In our study, the patients who applied to our clinic with the complaint of drinking corrosive substances between 2002 and 2005 were evaluated retrospectively.
Material and Methods:Between February 2002 and November 2005 at Kocaeli University Faculty of Medicine Pediatric Surgery Clinic, 214 patients who admited with the complaint of drinking caustic substances, of which 179 were accepted in the study.
Results:Of the 179 patients whose information were collected; 112 (62.6%) were boys and 67 (37.4%) were girls. The youngest case was 6 months old, and the oldest was 16 years old. The mean age is 3.35±2.6 years. When the location of Ingestion were evaluted has been seen that; in 149 patients (83.2%) in their own homes, in 24 patients (13.4%) while they were guests, and in 5 (2.8%) patients outdoors.when ingested substances are classified; 57(31.8%) patients degrease, 44(24%) patients bleach, 13(7.3) patients descaling, 11(6.1%) patients, drain opener 8(4.5%) patients porcini , 6 patients (3.4%) patients with salt spirit, 6 (3.4%) patients with vinegar spirit, 6 (3.4%) patients with dishwashing liquid, 6 (3.4%) patients with permanganate, 5 (2.8%) patients) wasobserved that the patient ingest cosla, and 17 patients ingest different chemicals. 64 of 179 the patients were not given any medical treatment and were followed up, 115 patients were hospitalized for medical treatment. Among 115 patients esophagoscopy was performed in 82 patients.Among the patients who underwent esophagoscopy, 29 (16.2%) patients were accepted as grade 0 without any burns. Grade 1 burns were observed in 12 (6.7%) patients, and grade 2 burns were observed in 41 (22.9%) patients. In long-term follow-up, esophageal stricture was detected in 20 patients.
Conclusion:After esophageal injury, serious medical, economic and social problems arise. Accidents occur mostly at home as a result of families storing caustic substances in inappropriate conditions.

Anahtar Kelimeler

Caustic susbstance, treatment, Retrospektive

Kaynakça

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