Tıpta UzmanlıkAçık Erişim

To determine the level of biochemical parameters of the patients who apply to emergency services with sickle-cell anemia disease

2014
0 görüntülenme
0 i̇ndirme
Danışman: Doç. Dr. Ahmet Sebe

Özet (EN)

Aim: In this study we aimed to show the relation between complete blood count, sedimentation rate, lactate level, blood gas values, symptoms and outpatient treatment time of the patients who come to emergency services with severe pain crisis. Methods and Procedures: In this study 40 patients, combination of 21 male and 19 female, are included. Patients are told to mark the level of pain on a scale after they are questioned about their symptoms. Then patients' complete blood count, sedimentation rate, lactate level, and blood gas values are examined. Patients' outpatient treatment time are recorded. Symptoms, pain scale levels, blood biochemical levels and outpatient treatment time are statistically compared. Result: Patients age average and standard deviation is 28,65±6,841. Most observed symptoms are pains at joints of 35 patients ((%87,5) and chest area of 24 patients (%60). Patients pain level and their standard deviation on visual analog scale (VAS) 7,84±1,408; numerical pain scale (SAS) 7,95±1,449; Wong Baker face scale 4,08±0,616. Biochemical parameters average and Standard deviation: pH:7,39±0,041, pO2:45,69±11,02, pCO2:39,52±6,68, HCO3:23,94±3,15, leucocyte:16,59±6,73, hemoglobin:8,31±1,03, hematocrit:24,35±3,50, trombocyt:456±216,03, laktat:1,43±1,10, sedimentation:5±4,86. Treatment Time and it's Standard Deviation of 22 outpatient was 5,23±2,65 hours while it was 6,27±4,50 days for the 18 patients treated in the hospital. Outpatients were mostly treated for 2 hours (%15) and 4 hours (%15). Longest outpatient treatment time was 12 hours (%2,5) in the emergency service. When patients biochemical parameters and their outpatient treatment time were compared there was no meaningful result (p value˃0,05). Conclusion: No interrelation was found between the level of biochemical parameters of the patients who apply to emergency services and their outpatient treatment time.

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Özgür Şahan (Medical Specialty Thesis). To determine the level of biochemical parameters of the patients who apply to emergency services with sickle-cell anemia disease, 2014, Çukurova University.

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