ÇOCUKLARDA AKUT, KOMPLİKE APANDİSİT VE KARIN AĞRISI GÖZLEM HASTALARINDA HEMOGRAM PARAMETRELERİ VE C-REAKTİF PROTEİN DEĞERLERİNİN KARŞILAŞTIRILMASI Comparison of the Hemogram Parameters and C-reactive Protein Values in Patients with Acute, Complicated Appendicitis and Non-spesific Abdominal Pain in Children

OZET Amac: Dunyada akut karinin yaygin nedenlerinden biri olarak kabul edilen apandisitin tanisi ozellikle cocukluk caginda zordur ve baska hastaliklarla karisabilmektedir. Calismamizda akut, komplike apandisit tanisi alan ve karin agrisi nedeniyle klinik izleme alinan hastalarin ilk yatislarinda alinan c-reaktif protein (CRP) ve hemogram parametrelerinin analiz edilerek aralarindaki iliskinin ortaya konulmasi amaclanmistir. Gerec ve Yontem: Ocak 2016- Mayis 2017 tarihleri arasinda hastanemize karin agrisi yakinmasi ile basvuran 573 cocuk hasta geriye donuk olarak tarandi. Hastalar karin agrisi nedeniyle takip edilenler, akut ve komplike apandisit olanlar olmak uzere uc gruba ayrildi. Tum hastalarin demografik verileri, CRP, hemogram parametreleri ve bundan turetilen oranlar kaydedildi. Bulgular: NLO, WBC/MPV, CRP/MPV, PLO ve MPV/L degerleri apendektomi yapilan hastalarda karin agrisi gozlem grubundan daha yuksek cikmistir (p 0.05) Sonuc: NLO, WBC/MPV, CRP/MPV, PLO ve MPV/L degerlerinin apendektomi yapilan hastalarda daha yuksek cikmasi nedeniyle operasyona karar vermede ya da karin agrisi gozlemleri belirlemede bu parametrelerin taniyi destekleyecegi kanaatindeyiz. Anahtar sozcukler: Apendektomi; cocukluk cagi; crp; hemogram parametreleri ABSTRACT Aim: Appendicitis, accepted as one of the common causes of acute abdominal pain in the world, is difficult to diagnose especially in the childhood period and could be mixed up with other diseases. This study aims to analyze patients’ C - reactive protein (CRP) and Hemogram parameters at first hospitalization and identify the relationship between them in patients who were diagnosed with acute, complicated appendicitis and were under clinical observation due to non-specific abdominal pain. Material and Methods: 573 pediatric patients who applied to our hospital with the complaint of abdominal pain between January 2016 and May 2017 were screened retrospectively. The patients were divided into three groups as those who were under clinical observation due to non-specific abdominal pain and those who had acute appendicitis and complicated appendicitis. Demographic data, CRP, Hemogram parameters, and the proportions derived from these were recorded for all the patients. Results: Compared to the observation non-specific abdominal pain group, NLO, WBC/MPV, CRP/MPV, PLO and MPV/L values were found to be higher in the patient group that underwent appendectomy (p 0.05). Conclusion: As the NLO, WBC/MPV, CRP/MPV, PLO and MPV/L values were found to be higher in the group that underwent appendectomy, we believe that these parameters could support diagnosis in terms of the decision to perform surgery or identification of non-specific abdominal pain observations.