Esra Akyüz ÖZKAN, Esra DOMUR, Zeynep TUĞBA ÖZDEMİR, U Aliye GEÇİT

ÇOCUK POLİKLİNİĞİNE KARIN AĞRISI ŞİKÂYETİ İLE BAŞVURAN ÇOCUKLARIN DEĞERLENDİRİLMESİ

Amaç:Bu calışmada, karın ağrısı şikayeti ile hastaneye başvuran çocuk hastaların karın ağrısı nedenlerini, eşlik eden semptomları, istenen tetkiklerin ve etken patojenlerin belirlenmesi amaçlandı. Gereç ve Yöntem:Bozok Üniversitesi Tıp Fakültesi Genel Pediatri polikliniklerine Aralık 2014- Haziran 2015 tarihleri arasında karın ağrısı yakınmasıyla başvuran çocuk hastaların demografik ve klinik özellikleri, eşlik eden semptomlar, hastalardan istenen tetkikler ve değerlendiren hekimlerin koyduğu teşhisler açısından standart bir form üzerinden kayıtlar tutularak prospektif olarak değerlendirildi.Sonuçlar: Çalışmaya toplam 3-18 yaş arası 195 çocuk hasta alındı. Hastaların yaş ortalaması 9.1 idi. Hastaların % 53,8'u (n=105, ort yaş:9.74y) kız iken, % 49.2'u (n=96, ort yaş: 8.41y) erkekti. Hastaların 84'u (%43) 3-5 yaş, 71'u (%36.4) 6-11 yaş, 40'u (%20.5) 12-18 yaş arasında idi. Hastaların % 28.2'in de (n=55) karın ağrısı ile beraber bulantı-kusma olduğu görüldü. Karın ağrısı ile birlikte görülen diğer yakınmalar; % 27 ateş, %24.6 öksürük, %24.1 boğaz ağrısı, %21.5 ishal, %11.7 kabızlık, %10.2 sık idrara çıkma, %9.2 disüri, %7.6 anal kaşıntı idi. Karın ağrısı nedenleri arasında en sık akut üst solunum yolu enfeksiyonu (% 22.9 ) ve kabızlık (%17.5) bulundu. Tartışma:Çocukluk çağı karın ağrılarında üst solunum yolu infeksiyonuna sık rastlanmaktadır. Çocuklardaki karın ağrıları değerlendirilirken daha ayrıntılı öykü ve fizik muayene ile tanı konmalı ve gereksiz tetkiklerden kaçınmalıdır. Böylece hem hekim hem de hasta için vakit kaybı olmayacak ve sağlık giderlerinde gereksiz maliyet artışından kaçınılmış olunacaktır.

Evaluation of The Child with Abdominal Pain Admitted to Children Outpatient Clinic

Aim:In this study, the causes, accompanying symptoms, required tests, and causative agents were aimed to determine in the children with abdominal pain admitted to clinics.Materials and Method: At Bozok University School of Medicine General Pediatrics Clinics between December 2014 - June 2015 between; demographic and clinical characteristics of pediatric patients presented with abdominal pain and associated symptoms, the required tests and the diagnosis were recorded through a standard form and was prospectively evaluated. Results:A total of 195 patients between 3-18 years old were included in the study. The mean age of the patients was 9.1years. 53.8% of patients (n = 105; mean age: 9.74y) were female, 49.2% (n = 96, mean age: 8.41y) were male. 84 of the patients (43%) of 3-5 years, 71 (36.4%) aged 6-11 years, 40 (20.5%) were between 12-18 years of age. In 28.2% of patients (n = 55) nausea and vomiting was observed with abdominal pain. Other symptoms associated with abdominal pain were; 27% fever, 24.6% cough, 24.1% sore throat, 21.5% diarrhea, 11.7% constipation, 10.2% frequent urination, 9.2% dysuria, 7.6% anal itching. The most common cause of abdominal pain was acute upper respiratory tract infection (22.9%) and constipation (17.5%).Discussion:Upper respiratory tract infections are common seen in childhood abdominal pain. Abdominal pain in children should be diagnosed with a more detailed history and physical examination in evaluating and avoiding unnecessary tests. Thus,it will be avoided both loss of time for both physicians and patients and increased unnecessary cost.

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