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  Citation Number 1
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Karbonmonoksit Zehirlenmesinde Hastaneye Yatışı Belirleyen Faktörlerin İncelenmesi
2020
Journal:  
Fırat Tıp Dergisi
Author:  
Abstract:

Amaç: Karbonmonoksit gazı tatsız, kokusuz ve renksiz bir gaz olup her yıl sayısız zehirlenmelere yol açmaktadır. Gelişmiş ülkelerde bu zehirlenmenin en sık sebebi intihar iken bizim gibi gelişmekte olan ülkelerde ise en sık sebep havalandırmanın uygunsuz veya yetersiz olduğu sobalardır. Bu çalışmada acil servisimize başvuran karbonmonoksit zehirlenmesi vakaları retrospektif olarak incelendi ve hastaneye yatışı etkileyen laboratuvar ve klinik özellikler araştırıldı. Gereç ve Yöntem: Çalışmaya 2016-2018 yılları arasında acil servise karbonmonoksit zehirlenmesi ile başvuran hastalar dahil edildi. Bu vakaların yaş, cinsiyet, zehirlenme tarihi, acile başvuru saati, zehirlenmenin olduğu ikamet, hastanın tıbbi yakınması, pH, karboksihemoglobin (COHb), laktat, troponin I düzeyleri, lökosit sayısı ve klinik sonlanımları gibi özellikleri incelenerek yatışı etkileyen faktörler araştırıldı. Bulgular: Çalışma süresince 421 hastanın acil servise başvurduğu, bu hastaların çoğunluğunun erişkin (%64.8) ve kadın hasta (%55.3) olduğu tespit edildi. Hastaneye yatan vakalarda taburcu olanlara göre pH düşük, laktat, troponin I ve lökosit sayısı yüksekti (p <0.001). Hastalar en sık nefes darlığı (%45.8) ve başağrısı (%33.8) şikayetleriyle acil servise başvurdu. Bilinç değişikliği olan hastaların tamamı hastaneye yatırıldı (p <0.001). Sonuç: Karbonmonoksit zehirlenmesinde hastaneye yatışı etkileyen etmenler; hastada bilinç değişikliği olması, pH, laktat, troponin I düzeyi ve lökosit sayısıdır.

Keywords:

Review of factors that determine hospital entry in carbon monoxide poisoning
2020
Author:  
Abstract:

The carbon monoxide is an unpleasant, smellless and uncolored gas, causing countless poisoning every year. In developed countries, the most common cause of this poisoning is suicide, while in developing countries like us, the most common cause is that ventilation is inappropriate or insufficient. In this study, cases of carbon monoxide poisoning that appeal to our emergency service were examined retrospectively and the laboratory and clinical characteristics that affected the hospital stay were investigated. Tools and Methods: Patients with carbon monoxide poisoning were included in the study in emergency service between 2016-2018 years. Those cases have been studied by the study of the characteristics of these cases, such as age, gender, date of poisoning, time of emergency application, residence where the poisoning is, medical proximity of the patient, pH, carboxychemoglobin (COHb), lactate, troponin I levels, the number of leukocytes and clinical conclusions. Results: During the study, 421 patients were found to apply for emergency service, most of these patients were adults (64.8%) and female patients (55.3%. In hospitalized cases, the pH was low, the laktate, troponin I and the number of leukocytes was higher (p <0.001). Patients most often appealed to emergency services with complaints of breathing impairment (45.8%) and headaches (33.8%. All patients with awareness changes were hospitalized (p <0.001). Result: Factors affecting hospitalization in carbon monoxide poisoning; there is a change in consciousness in the patient, pH, laktate, troponin I level and the number of leukocytes.

Keywords:

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Fırat Tıp Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 453
Cite : 790
2023 Impact : 0.142
Fırat Tıp Dergisi