Çocuklarda akut karına yaklaşım

Çocuklarda akut karın, halen tanıda ikilem yaşanan ve çocuk acillere başvurularda en sık rastlanan klinik bir durumdur. Akut karın ağrısı, hayatı tehdit eden durumdan cerrahi gerektirmeyen durumlara kadar farklı nedenlere bağlı olabilir. Her ne kadar laboratuvar ve görüntüleme yöntemleri tanıya yardımcı olsa da, hikaye ve fizik muayene daha önemlidir. Bu yazıda akut karın tanısı konulmasına yardımcı olan çalışmalar ve bu hastalara güncel yaklaşım gözden geçirilmiştir. (Güncel Pediatri 2012; 10: 31-5)

Management of acute abdomen in children

Acute abdomen in children is still a diagnostic dilemma, and accounts for the majority of pediatric emergency admissions. The causes range from life-threatening surgical emergencies to benign non-surgical conditions. Although laboratory tests and imaging modalities may help to diagnose, medical history and physical examination are most important factors in children. This article reviewed the investigations that aid in the establishment of a diagnosis and the current management of an acute abdomen. (Journal of Current Pediatrics 2012; 10: 31-5)

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