AKUT KARIN TANISINDA PLAZMA VE PERÝTON LAKTÝK ASÝD DEÐERLERÝNÝN ÖNEMÝ

Mayýs - Kasým 1995 tarihleri arasýnda kliniðimize akut karýn ön tanýsý ile yatýrýlarak peritonit bulgularýnýn saptanmasý üzerine acil operasyona alýnan ardýþýk 20 olgu ile kolelithiasis tanýsýyla elektif kolesistektomi uygulanan ardýþýk 20 olgunun lökosit, amilaz, plazma ve periton laktat deðerleri araþtýrýldý. Akut karýn tahmin etmedeki deðerleri açýsýndan diskriminant analizi ile incelendiðinde periton laktatýnýn ve periton- plazma laktat farkýnýn tüm vakalar için anlamlý sonuç verdiði saptandý. Duyarlýlýk ve özgüllüðün % 100 olmasý için periton-plazma laktat farkýnýn 1,5 mMol/L veya fazla olmasý gerektiði sonucuna vardýk. Bulgularýmýz akut karýn tanýsýnýn açýklýk kazanmadýðý hastalarda periton- plazma laktat farkýnýn yararlý tamsal bir indeks olduðunu göstermiþtir.

THE VALUE OF PLASMA AND PERITONEAL LACTATE LEVELS IN THE DIAGNOSIS OF ACUTE ABDOMEN

From May 1995 to November 1995, in our clinic 20 consecutive patients hospitalized with acute abdomen disease and undergone an emergent operation due to peritonitis symptoms and 20 consecutive patients undergone elective cholecystectotmy operations due to cholelithiasis are included in this study. Leucocyte, amylase, plasma and peritoneal lactic acid levels an determined. Peritoneal lactate and peritoneal minus plasma lactate difference are found to be meaningful for all cases when studied with discriminant analysis for their values in assessing acute abdomen disease. We concluded that in order to get 10 percent sensitivity and specificity, periton and plasma lactate difference must be equal to or more than 1,5 mMol/L. Our findings show that when acute abdomen disease cannot be cleared by other means, the difference between periton and plasma lactates is a useful diagnostic index.