Mantar zehirlenmesi olan çocuk olguların değerlendirilmesi
Yükleniyor...
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Özet: Mantar zehirlenmesi mortalitesi yüksek zehirlenmelerdendir. Zehirli mantarlar özellikle ilkbahar ve sonbahar mevsimlerinde ortaya çıkarlar ve zehirlenmeleri bu dönemde daha fazla görülür. 2006 yılı 1 Ekim 31 Kasım tarihleri arasında Çocuk Sağlığı ve Hastalıkları bölümünde mantar zehirlenmesi tanısıyla izlenen olguların; semptomları, semptomların başlama zamanı, hastaneye getirilme zamanları, fizik inceleme bulguları, laboratuvar bulguları, uygulanan tedaviler, hastanede kalış süreleri ve prognozları kaydedildi. Tanımlanan süre içerisinde toplam 24 olgu görüldü. Bu olguların 8 (%33.3)’i sevk edilirken, 16 (%66.7)’sı yatırılarak izlendi. Bütün olguların başvuru anında bulantı-kusma yakınması varken, sadece 3 olguda (%12.5) nörolojik bulgular saptandı. Yedi olguda (%29.2) semptomlar mantar alımını takiben ilk 6 saatte ortaya çıkmıştı. Karaciğer fonksiyon testleri 4 olguda (%16.6) yükselmiş iken, böbrek fonksiyon testleri tüm olgularda normaldi. Sevk edilen olgulardan 2’si (%8.3) kaybedilirken yatırılarak izlenen 16 olgunun hepsi şifa ile taburcu edildi. Mantar zehirlenmesi mortalitesinin yüksekliği nedeniyle, önemli bir sağlık sorunudur ve en iyi tedavi halkın bilinçlendirilmesidir. Bu nedenle eğitim konusunda yürütülecek çalışmalarla halkın uyarılması, bulgular konusunda bilgilendirilmesi ve bulguların ortaya çıkması ile erken hastaneye başvurularının sağlanması mortaliteyi azaltacaktır.
Abstract: Mushroom poisonings are intoxications with high mortality. Toxic wild mushrooms usually grow up in spring and autmn and the intoxications of these mushrooms occur mostly in these seasons. The symptoms, the initial time of the symptoms, the arrival time to the hospital, the physical examination findings, laboratory datas, treatments that were applied, the time kept in the hospital and the prognoses of the cases with mushroom intoxication diagnosis in the pediatry department were recorded between 1 October and 31 November 2006. During the time described above, a total of 24 cases with mushroom poisoning were determined. 8 of the cases (33.3 %) were refered to another hospital, 16 of them (66.7 %) were hospitalizated and observed. Gastrointestinal complaints was the symptom determined in every patient at the application time to the hospital whereas only 3 patients (12.5 %) had neurologic symptoms. Symptoms occured within 6 hours of consumption of mushrooms in 7 cases (29.2 %). Elevated liver enzymes was determined in 4 patients (16.6 %) whereas renal functions were normal in all of the cases. 16 cases who were hospitalizated, completely recovered and were discharged. However, 2 patients (8.3 %) who were refered, died. Mushroom poisoning is an important health problem because of its high mortality and the best treatment is to make the public conscious of this problem. Therefore alerting the public, informing them about the symptoms and making them resort to hospitals with the first detected initial symptoms, by improving and strengthening the public education projects will reduce the mortality.
Abstract: Mushroom poisonings are intoxications with high mortality. Toxic wild mushrooms usually grow up in spring and autmn and the intoxications of these mushrooms occur mostly in these seasons. The symptoms, the initial time of the symptoms, the arrival time to the hospital, the physical examination findings, laboratory datas, treatments that were applied, the time kept in the hospital and the prognoses of the cases with mushroom intoxication diagnosis in the pediatry department were recorded between 1 October and 31 November 2006. During the time described above, a total of 24 cases with mushroom poisoning were determined. 8 of the cases (33.3 %) were refered to another hospital, 16 of them (66.7 %) were hospitalizated and observed. Gastrointestinal complaints was the symptom determined in every patient at the application time to the hospital whereas only 3 patients (12.5 %) had neurologic symptoms. Symptoms occured within 6 hours of consumption of mushrooms in 7 cases (29.2 %). Elevated liver enzymes was determined in 4 patients (16.6 %) whereas renal functions were normal in all of the cases. 16 cases who were hospitalizated, completely recovered and were discharged. However, 2 patients (8.3 %) who were refered, died. Mushroom poisoning is an important health problem because of its high mortality and the best treatment is to make the public conscious of this problem. Therefore alerting the public, informing them about the symptoms and making them resort to hospitals with the first detected initial symptoms, by improving and strengthening the public education projects will reduce the mortality.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
TSK Koruyucu Hekimlik Bülteni
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
5
Künye
Hızel, S., Mısırlıoğlu, E. D., Özdoğan, S., Kırlı, E., Evliyaoğlu, O., Aliefendioğlu, D. (2007). Mantar zehirlenmesi olan çocuk olguların değerlendirilmesi. TSK Koruyucu Hekimlik Bülteni, 6(5), 341 - 344.
