Saadet AKARSU, Abdullah KURT, Çıkar A. Neşe KURT

Eritrosit sedimentasyon hızına göre hastalıklar

Amaç: Eritrosit sedimentasyon hızı (ESH) hastalığın hızlı tanı ve prognozunu belirlemede kullanılmaktadır. Kliniğimizde tanısı kesin olarak konulmuş hastalarımızdaki ESH değerlerini tespit etmek istedik. Yöntem: Çalışma prospektif olarak, 12 aylık sürede ve toplam 758 hastada yapıldı. Kan örnekleri hastaneye yatırılış sırasında alındı ve taburcu edilme sırasında tanıları tekrar kontrol edilerek değerleri kaydedildi. Bulgular: İnfeksiyöz nedenli 472 (% 73.9) ve infeksiyöz olmayan nedenli 286 (% 26.1) vaka vardı. İnfeksiyöz nedenlilerin 256 (% 54.2)'sı bakteriyel ve 216 (% 45.8)'sı viral kaynaklıydı. İnfeksiyöz nedenlilerde 26.0 mm/h (bakteriyel 32.1, viral 18.6) ve infeksiyöz olmayan nedenlilerde 15.1 mm/h olarak saptandı. İnfeksiyöz nedenliler ile infeksiyöz olmayan nedenliler arasında istatistiksel olarak arasında istatistiksel anlamlı fark saptandı (p< 0.001). İnfeksiyöz nedenlilerden bakteriyal ve viral etkenler arasında istatistiksel fark vardı (p< 0.001). ESH bronkopnömoni-lober pnömoni grubunda 28.8, idrar yolu infeksiyonu-piyelonefritlerde 27.3, akut bronşiolitte 14.6, menenjitte 30.8, akciğer tüberkülozunda 74.9, akciğer ampiyeminde 90.2 ve viral döküntülü hastalıklarda 6.0 mm/h olarak saptandı. Anemilerde 10.9, kollajenözlerde 41.5, lösemi-lenfomada 68.3 ve allerjik hastalıklar-astımda 12.6 mm/saat olarak saptandı. Sonuç: İnfeksiyöz nedenli hastalıklardan, özellikle bakteriyel nedenlilerde; en yüksek ESH değerleri saptanmaktadır.

Anahtar Kelimeler:

Kan sedimentasyonu, Tanı teknik ve işlemleri, İleriye dönük çalışma, Çocuk

Diseases according to erythrocyte sedimentation rate

Aim: Erythrocyte sedimentation rate (ESR) is used for rapid diagnosis and prognosis of the diseases. We have determined the ESR values in patients (whose illnesses were clearly diagnosed) at our clinic. Methods: This study was designed as prospectively and performed on 758 patients within a period of 12 months. Blood samples were obtained at the time of hospitalization and also at the time of discharge and recorded. Their diagnosis were also checked at the time of discharge before collection of the samples. Results: There were 472 (73.9 %) and 286 (26.1 %) patients with infectious and non-infectious origin, respectively. Of the infectious originated cases, 256 (54.2 %) were caused by bacterial and 216 (45.8 %) by virus. It was determined to be 26.0 mm/h (bacterial 32.1, viral 18.6) in those with an infectious origin and 15.1 mm/h in non-infectious origin. There were statistically significant differences between infectious and non-infectious disease groups (p< 0.001). Bacteria and virus-originated diseases also significantly differed (p< 0.001). ESR values were 28.8 mm/h in the bronchopneumonia-lober pneumonia group, 27.3 in urinary system infection-pyelonephritis, 14.6 in acute bronchiolitis, 30.8 in meningitis, 74.9 pulmonary tuberculosis, 90.2 in pulmonary empyema and 6.0 mm/h in viral exanthema diseases. ESR findings were 10.9 mm/h in anemic patients, 41.5 collagenosis, 68.3 leukemia-lymphoma and 12.6 allergic diseases-asthma. Conclusion: The highest ERS value was determined to be in the infectious originated diseases (particularly those caused by bacteria).

Keywords:

Blood Sedimentation, Diagnostic Techniques and Procedures, Prospective Studies, Child,

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