Özet:

Objective: The biochemical parameters becomes significant with the opportunity of easy availability and widespread use in early diagnosis of patients with acute abdominal pain. In this study it has been planned to investigate the diagnostic value of MPV of patients that attend emergency department and become inpatient with acute abdominal pain. Material and Methods: The records of 812 patients and 45 healthy person who applied for emergency services between January 2012 and March 2013 were retrospectively reviewed. Age, sex, physical examinations, relationship between MPV values on the 5th day, platelet, neutrophil lymphocyte ratio, leukocyte, CRP and MPV was examined from the records.Results: The gender distribution of our study were 467 57.5% male and 347 42.5% female. The mean age of the patients is 53.09 ± 0.75 18-92 years . After investigating the final diagnosis of the patients that attended to the emergency department with abdominal pain, the most common is bile duct and choledochal pathologies 18.7% , nonspecific abdominal pain 17.3% and ileus-volvulus 13.8% . 812 patients in this study found to have an average value of 8.358±1.046 fL MPV on the 5th day, average platelet value of 246.82±91,3 u/L, and 10.025±12.75 u/L of mean value of neutrophil-lymphocyte ratio. The first average MPV values of patients with acute abdominal pain in the study were 7.869±1.071 fL, healthy control groups average MPV values were 8.47±1.058fL, shows that the average MPV level were lower than the healthy group. Conclusion: MPV may be a helpful marker for patients diagnosed with pancreatitis and ileus-volvulus

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