Yatağında göğüs hastalıkları konsültasyonu sonuçları
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Dosyalar
Tarih
2005
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Göğüs Hastalıkları Konsültasyonu (GHK) istenen olguların klinik özelliklerini, konsültasyon sırasında yapılan incelemeler ve varılan sonuçları değerlendirmek amacıyla Gülhane Askeri Tıp Akademisinde Kasım 2002-Haziran 2003 tarihleri arasında 7 ay boyunca yatağında GHK istenen olgular prospektif olarak kayıt edildi. Yaş ortalamaları 5718 (16-102) olan 220 kadın (%43.1), 290 erkek (%56.9) toplam 510 hastaya yatağında konsültasyon yapıldı. Konsültasyonlar, 15 dahili (%56.7), 10 cerrahi (%43.5) olmak üzere toplam 25 ayrı bölümden istenmişti. Doksan dört (%18.4) hastaya acil GHK istenmişti. En sık GHK istek nedeni solunumsal semptomlar %42.7 (218) ve radyolojik bulgular %19.4 (99) idi. GHK yapılan olguların %32.5 (166)'inde akciğer grafisi normal bulundu. En sık görülen radyolojik anormallik plevral opasite (%14.5) idi. Olguların %39.4 (201)'ünde hipoksemi söz konusuydu. Toplam 136 olguda (%26.7) bilgisayarlı tomografi, 76 olguda (%14.9) balgamda ARB, 64 olguda (%12.5) solunum fonksiyon testi istendi. Olguların %19 (97)'unda normal solunum sistemi bulguları, %13.7 (70)'sinde pulmoner enfeksiyon, yine %13.7 (70)'sinde obstruktif akciğer hastalığı, %10.2 (52)'sinde kardiyak patoloji tespit edildi. Medikal tedavi olarak 191 (%37.5) olguya antibiyotik, 137 (%26.9) olguya bronkodilatatör, 93 %18.2) olguya heparin ve 75 (%14.7) olguya steroid (inhalesistemik) önerildi. Cerrahi bilimlere yapılan GHK'nın (222) %28.8 (64)'i preoperatif, %71.2 (158)'si ise postoperatif dönemde idi. Sonuç olarak, cerrahi kliniklerde post-operatif solunumsal komplikasyonların, dahili kliniklerde ise pulmoner enfeksiyonların ve obstruktif akciğer hastalıklarının en sık Göğüs Hastalıkları sorunları olduğu gözlendi. "
Bedside pulmonary consultations (BPC) in Gülhane Military Medical Academy during 7 month-period were recorded prospectively in order to evaluate clinical characteristics of the cases, the investigations performed during BPC and the conclusions. Five hundred and ten patients 220 (43.1%) of whom were female, 290 of whom (56.9%) were male and mean age of whom was 57±18 (16-102) were consulted at bedside. BPC requests were made from 15 (56.7%) internal and 10 (43.2%) surgery departments. Ninetyfour (18.4%) were consulted as emergency. The most frequent reasons for BPC were respiratory symptoms and radiological abnormalities in 218 (42.7%) and 99 (19,4%) of the cases respectively and the most frequent radiological finding was pleural effusion (14.5%). Hypoxemia was detected in 39.4% (201) of the patients. Computed tomography, sputum examination for acid-fast bacillus and tuberculosis culture and pulmonary function testing were ordered in 136 (26.7%), 76 (14,9%) and 64 (12.5%) of the cases respectively. Pulmonary infection, an obstructive lung disease and a cardiac disease were diagnosed and normal respiratory system finding were detected in 70 (13.7%), 70 (13.7%), 52 (10.2%) and 97 (19%) of the cases respectively. As medication, bronchodilator, heparin and steroids (inhaled or systemic) were ordered in 191 (37.5%), 137 (26.9%) and 93 (18.2%) of the cases. Of the BPCs requested from surgery departments 64 (28.8%) were in preoperative and 158 (71.2%) were in postoperative period. As a result, postoperative pulmonary complications in surgery departments and pulmonary infections and obstructive pulmonary diseases in internal departments were determined more frequently with BPC.
Bedside pulmonary consultations (BPC) in Gülhane Military Medical Academy during 7 month-period were recorded prospectively in order to evaluate clinical characteristics of the cases, the investigations performed during BPC and the conclusions. Five hundred and ten patients 220 (43.1%) of whom were female, 290 of whom (56.9%) were male and mean age of whom was 57±18 (16-102) were consulted at bedside. BPC requests were made from 15 (56.7%) internal and 10 (43.2%) surgery departments. Ninetyfour (18.4%) were consulted as emergency. The most frequent reasons for BPC were respiratory symptoms and radiological abnormalities in 218 (42.7%) and 99 (19,4%) of the cases respectively and the most frequent radiological finding was pleural effusion (14.5%). Hypoxemia was detected in 39.4% (201) of the patients. Computed tomography, sputum examination for acid-fast bacillus and tuberculosis culture and pulmonary function testing were ordered in 136 (26.7%), 76 (14,9%) and 64 (12.5%) of the cases respectively. Pulmonary infection, an obstructive lung disease and a cardiac disease were diagnosed and normal respiratory system finding were detected in 70 (13.7%), 70 (13.7%), 52 (10.2%) and 97 (19%) of the cases respectively. As medication, bronchodilator, heparin and steroids (inhaled or systemic) were ordered in 191 (37.5%), 137 (26.9%) and 93 (18.2%) of the cases. Of the BPCs requested from surgery departments 64 (28.8%) were in preoperative and 158 (71.2%) were in postoperative period. As a result, postoperative pulmonary complications in surgery departments and pulmonary infections and obstructive pulmonary diseases in internal departments were determined more frequently with BPC.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Gülhane Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
47
Sayı
1
