�ST GASTRO�NTEST�NAL S�STEM KANAMALARINDA KL�N�K SEY�R �ZER�NDE ETK�L� FAKT�RLER

G�ler, Kerim; Vatansever, Sezai; Hal�c�, Ertu�rul; G�lo�lu, Recep; Palanduz, ��kr�; Erk, Osman

Cilt : 3 Say� : 1 Y�l : 2024

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H�zl� Arama

�ST GASTRO�NTEST�NAL S�STEM KANAMALARINDA KL�N�K SEY�R �ZER�NDE ETK�L� FAKT�RLER [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 1997; 3(1): 62-66

�ST GASTRO�NTEST�NAL S�STEM KANAMALARINDA KL�N�K SEY�R �ZER�NDE ETK�L� FAKT�RLER

Kerim G�ler¹, Sezai Vatansever¹, Ertu�rul Hal�c�¹, Recep G�lo�lu¹, ��kr� Palanduz¹, Osman Erk¹
�stanbul �niversitesi �stanbul T�p Fak�ltesi Acil Dahiliye Klini�i

Bu �al��ma �stanbul T�p Fak�ltesi Acil Dahiliye Servisine son 5 y�l i�inde ba�vuran, �st gastrointestinal sistem kanamas� (�GK) bulunan 595 vakada klinik seyir �zerinde etkili olan fakt�rleri belirleme ve �GK ge�iren vakalara yakla��m� de�erlendirme amac�yla yap�lm��t�r. �ncelenen hastalar�n 413'� (%69.4) erkek, 182'si (%30.6) kad�nd�r. Klinik seyir �zerinde etkili fakt�rler olarak, hasta ya��n�n 50'nin �zerinde olmas�, hematemez ile ba�vurmas�, anamnezde ge�irilmi� �GK ya da peptik �lser hastal�� bulunmas� ve pozitif T�t testi ele al�nm��t�r. Bu fakt�rlerin bulundu�u grup, bulunmayan gruba g�re istatistiksel a��dan anlaml� d�zeyde daha y�ksek miktarda kan transf�zyonuna gereksinim g�stermi�tir. Cerrahiye sevk bak�m�ndan, daha �nce �GK ge�iren ve pozitif Tilt testi olan gruplarda olmayanlara g�re istatistiksel a��dan anlaml� fark bulunmu�tur.

Anahtar Kelimeler: �ST GASTRO�NTEST�NAL KANAMA, KL�N�K SEY�RDE ETK�L� FAKT�RLER

FACTORS AFFECTING THE CLINICAL COURSE OF UPPER GASTROINTESTINAL BLEEDING

Kerim G�ler¹, Sezai Vatansever¹, Ertu�rul Hal�c�¹, Recep G�lo�lu¹, ��kr� Palanduz¹, Osman Erk¹
�stanbul �niversitesi �stanbul T�p Fak�ltesi Acil Dahiliye Klini�i

This study was conducted to analyse the association of risk factors and clinical course of upper gastrointestinal bleeding (UGB) and evaluate the approach to UGB. 595 cases (%64.9 males) of UGB admitted to medical emergency department of Istanbul University School of Medicine between 1991-1996 were assessed. Patient age over 50, hematemesis at admission, a history of UGB or peptic ulcer disease and a positive Tilt testing were considered to be important factors in the clinical course of UGB. The subgroup of patients with any risk factors required more units of blood transfusion than patients without risk factors. The subgroup of patients with only a positive Tilt test or a history of UGB required surgical intervention more frequently.

Keywords: UPPER GASTROINTESTINAL BLEEDING, FACTORS AFFECTING CLINICAL COURSE

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