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Amaç: Bu çalışmada; üçüncü basamak bir çocuk acil ünitesinde akut pankreatit tanısı almış hastaların klinik ve laboratuvar özelliklerinin incelenmesi, karın ağrılı çocuk hastaların ayırıcı tanısında akut pankreatitin önemine dikkat çekilmesi amaçlanmıştır. Yöntem: Çalışmaya Çukurova Üniversitesi Tıp Fakültesi Çocuk Acil Bilim Dalı’nda 5 yıllık sürede akut pankreatit tanısı almış çocuk hastalar dahil edildi. Hastalar akut ve tekrarlayan akut pankreatit olarak iki gruba ayrıldı. Hastaların klinik ve laboratuvar verileri geriye dönük incelendi. Modifiye Ranson kriterlerine göre akut pankreatit risk faktörleri belirlendi. Bulgular: Çalışma süresince akut pankreatit tanısı alan 53 hasta çalışmaya alındı. Hastalar toplamda 116 kez atak geçirmişti. Yaş ortalamaları 10,6±4,4 yıl (en küçük:0,5, en yüksek:17,5) ve 28 (%52,8)’i kız idi. 22’si (%41,5) ≥2 atak geçirmişti. Akut pankreatit etiyolojisi 20 (%38) hastada belirlenemez iken, 10 hastada (%18,8) hiperlipidemi saptandı. Sonuç: Çocuk acil servislere karın ağrısı ile başvuran hastaların ayırıcı tanısında akut pankreatit düşünülmeli, konu ile ilgili farkındalık arttırılmalıdır.
Purpose: In this study; the study of the clinical and laboratory characteristics of patients diagnosed with acute pancreatitis in a child’s emergency unit in the third stage, the aim is to highlight the importance of acute pancreatitis in the distinctive diagnosis of children with pain in the abdomen. Method: Study included children patients diagnosed with acute pancreatitis in 5 years at the Children's Emergency Science Department of the University of Çukurova Medical School. Patients were divided into two groups as acute and recurring acute pancreatitis. The clinical and laboratory data of patients were reviewed backwards. According to the modified Ranson criteria, the risk factors for acute pancreatitis were determined. Results: 53 patients diagnosed with acute pancreatitis were taken to study during the study. In total, the patient has been hit 116 times. The average age was 10.6±4.4 years (the smallest:0,5, the highest:17,5) and 28 (52.8%) girls. 22 (41,5%) had ≥2 attacks. The etiology of acute pancreatitis was uncoverable in 20 (38%) patients, while hyperlipidemia was detected in 10 (18.8%) patients. The result: in the distinctive diagnosis of patients who apply to child emergency services with abdominal pain should be considered acute pancreatitis, awareness of the subject should be increased.
ABSTRACT Aim: In the present study, the purpose was to examine the clinical and laboratory characteristics of patients diagnosed with Acute Pancreatitis in a third-line Children’s Emergency Department, and to draw attention to the importance of Acute Pancreatitis in the differential diagnosis of children admitting with abdominal pain. Materials and Methods: The child patients who were diagnosed with acute pancreatitis at Çukurova University Faculty of Medicine, Department of Pediatric Emergency Medicine for a period of 5 years were included in the study. The patients were divided into two groups as Acute Pancreatitis and Recurrent Acute Pancreatitis. The clinical and laboratory data of the patients were examined retrospectively. Acute pancreatitis risk factors were determined according to the Modified Ranson Criteria. Results: A total of 53 patients who were diagnosed with acute pancreatitis were included in the study. The patients had had attacks for a total of 116 times. The mean age of the patients was 10.6±4.4 years (minimum: 0.5, maximum: 17.5), 28 (52.8%) were girls, and 22 (41.5%) had had ≥2 attacks. The etiology of Acute Pancreatitis could not be determined in 20 (38%) patients, and hyperlipidemia was detected in 10 patients (18.8%). Conclusion: Acute Pancreatitis should be considered in the differential diagnosis of patients admitting to Emergency Departments with abdominal pain, and the awareness about the subject should be increased. Keyword: Acute Pancreatitis, Acute Recurrent Pancreatitis, Abdominal Pain.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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