Özet:

Introduction and Purpose: Upper gastrointestinal system bleeding is often mild in childhood, but it can also be seen in the form of a serious life-threatening bleeding. This study was aimed at determining the findings and risk factors that indicate clinically meaningful upper gastrointestinal system bleeding. Method and method: Children between 0 and 18 years of age who were diagnosed with upper gastrointestinal system bleeding were taken to study. Age at the moment of diagnosis, gender, amount of bleeding, hematoma, the presence of melena, immediate proximity of application, accompanying diseases, the use of drugs that cause the tendency to bleeding, vital findings, time of filling of capillaries and systemic physical examination findings were recorded. Laboratory examinations recorded hemogram, biochemistry, coagulation tests, endoscopic process findings, number of erythrosite transfusions, medical and/or endoscopic treatments, emergency or service observations, and the final diagnosis of bleeding. According to Sheffield scores, the areas of 8 points and above were grouped as those with significant upper gastrointestinal system bleeding, the data was compared between the groups. The findings: Fifty five children [29 (52.7) girls, 26 (47.3) men; an average diagnosed age of 8.4±5.4 years] were taken to study. At the time of application, 22 patients had anemia, 20 patients had a high blood uric nitrate, 14 patients had a low number of erythrosites, 5 patients had hypoalbuminemia. In 17 patients with meaningful bleeding; melena (%76.5 vs.%21.1, p <0.001), breathing (%52.9 vs.%5.3, p <0. 001), splenomegali (%23.5 vs.%2.6, p <0.001), ozofageal varis (%23.5 vs.%2.6, p=0.02), bolus fluid (%41.2 vs.%5.3, p <0.001) and transfusion requirements (%70.6 vs.%5.3, p <0.001) more frequently, heart rate (137.4±22.1 vs. 117.5±21.3, p=0.01), capillary filling time (%35.3 vs.%2.6, p <0.001) and blood urogenital nitrogen (19.2±8.4 mg/dL vs. 13.3±4.8 mg/dL, p=0.01) levels higher, hemoglobin (%9.2±2.2 mg/dL vs. 11.7 mg/dL = 11.7 mg/dL = 11.7 mg/dL = 4.7 mg/dL = 4.7 mg/dL = 4.7 mg/dL = 4.7 The most frequently detected causes of upper gastrointestinal system bleeding were gastritis (%20), Mallory Weiss (%16.4), ozofaith (%12.2), ulcer (%12.2) and ozofagus varices (%9.1). It is important to predict the risk of the patient with upper gastrointestinal system bleeding and to know the clinical and laboratory parameters of significant upper gastrointestinal system bleeding to take the necessary efforts in time. In addition to the criteria contained in the Sheffield scores, in our study, breathing and splenomegaly in the physical examination, and in the laboratory examination, the number of erythrosites and low in the albumin with the blood uric nitrogen height were identified as the findings indicating significant upper gastrointestinal system bleeding.

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