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- Title
Acil Serviste Akut Apandisit Tanısı Almış Çocuklarda Trombosit Kütle İndeksi ve Diğer Hemogram Parametrelerinin Tanısal Değeri.
- Authors
ŞEYHANLI, Eyyup Sabri
- Abstract
Background: Acute appendicitis (AA) is one of the most common emergency surgical pathologies in patients presenting to emergency department. with abdominal pain. In patients diagnosed with Acute appendicitis, rapid and accurate diagnosis is necessary to reduce morbidity and mortality. Hemogram parameters are important in diagnosis of acute appendicitis. In this study, we aimed to investigate the place of acute appendicitis, in histopathological diagnosis by examining the hemogram parameters of the patients who were first examined in the emergency department. Materials and Methods: Hemogram parameters and postoperative pathology results of 116 patients who presented with abdominal pain to the Emergency Department of SBÜ Ş.Urfa Mehmet Akif İnan SUAM hospital between January 2018 and June 2020 and operated with the preliminary diagnosis of acute appendicitis were analyzed retrospectively. Patients were divided into three groups according to their pathology results and were questioned whether there was a relationship between hemogram parameters and acute appendicitis. Results: Of the 116 patients who underwent appendectomy, the average age was 12.0 (9.0-15.0), of which 60.3% (N=70) were male and 39.7% (n=46) were female. In the study, there were 60.3% (n=70) male patients and 39.7% (n=46) female patients. Abdominal Ultrasonography (USG) was performed to 76.7% (n=89) patients and abdominal Computed Tomography (CT) was performed to 18.1% (n=21) the patients before surgery. Both USG and abdominal CT were performed in 5.2% (n=6) patients. After postoperative pathological analysis, 11.2% (n=13) of the patients had normal appendix, 70.1% (n=82) of the patients had simple inflamed appendicitis, 18.7% (n=21) of the patients had Complicated (phlegmenous, gangrenous, perforated) appendicitis. Hemogram parameters of non- acute appendicitis and acute appendicitis patients were compared. There was statistically significant difference between Neutrophil/lymphocyte ratio (NLR) (p<0.05). There was no statistically significant difference between Red blood cell width (RDW), Platelet mass index (PMI), White blood cells (WBC), neutrophil count (p>0.05). Conclusion: White blood cells (WBC), neutrophil count, NLR, RDW, PMI, are easily accessible and fast assessable hemogram parameters, available for diagnosis of acute appendicitis patients. However, these parameters alone are not enough for diagnosis of acute appendicitis. A good anamnesis, physical examination and appropriate radiologic imaging studies are needed to make a timely and accurate diagnosis.
- Subjects
TURKEY; APPENDICITIS diagnosis; ULTRASONIC imaging of the abdomen; ABDOMINAL radiography; ABDOMINAL pain; APPENDECTOMY; APPENDICITIS; BLOOD cell count; COMPUTED tomography; HOSPITAL emergency services; RETROSPECTIVE studies; PLATELET count; CHILDREN
- Publication
Journal of Harran University Medical Faculty / Harran Üniversitesi Tıp Fakültesi Dergisi, 2020, Vol 17, Issue 3, p420
- ISSN
1304-9623
- Publication type
Article
- DOI
10.35440/hutfd.808427