%0 Journal Article
%T A study to use hematological and biochemical parameters as a key in the diagnosis of acute mesenteric ischemia
%A Okan Murat Akt¨¹rk
%J -
%D 2018
%X Aim: Acute mesenteric ischemia is still fatal in 59-92% of cases. Delay in diagnosis of acute mesenteric ischemia can cause dramatic increase in morbidity and mortality rates. However several diagnostic and disease related factors have been widely studied. Controversy still remains. In this study, we evaluated hematological and biochemical parameters in patients with acute mesenteric ischemia. Methods: 46 patients (study group) who underwent emergent surgery for acute mesenteric ischemia and 46 patients (control group) operated for acute abdomen with another etiology other than acute mesenteric ischemia and internalized to intensive care unit were included in this study. Medical records and clinical data of acute mesenteric ischemia patients between January 2008 and December 2014 were evaluated with regard to 8 parameters; age, amylase, white blood cell count, mean platelet volume, creatine kinase, lactate dehydrogenase, lactate and D-dimer. These parameters were selected for their increased levels in acute mesenteric ischemia patients according to many published medical studies. Control group was formed randomly from patients followed in intensive care unit for their co-morbidities after acute abdomen operation in the same period. Gender was included in the table but was not taken into account as a parameter for the study. Results: Mean values of age, white blood cell count, creatine kinase, lactate dehydrogenase, lactate and D-dimer were significantly higher in acute mesenteric ischemia group than the control group. Mean platelet volume was significantly lower in acute mesenteric ischemia group. The p values were for age (p=0.009), for amylase (0.475), for white blood cell (p=0.001) for mean platelet volume (0=0.001), for creatinine kinase (p=0.017), for lactate dehydrogenase (p=0.001), for lactate (p=0.001), for D-dimer (p=0.001) respectively. Conclusion: White blood cell count, creatine kinase, lactate dehydrogenase, lactate and D-dimer levels increase; mean platelet volume decrease in acute mesenteric ischemia patients significantly
%K akut mezenterik iskem
%K hematoloji
%K biyokimyasal
%K testler
%U http://dergipark.org.tr/acem/issue/36702/414324