بررسی وضعیت بالینی و پاراکلینیکی کودکان بستری به علت کیست هیداتیک در خرم آباددرسال99-91
نویسندگان: Hamid Reza SherkatolAbbasieh ©, Elaheh Bakhtiari, Shiva Shafizadeh
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خلاصه مقاله: Introduction: Hydatid disease is a widespread, serious human cestode infection. The aim of this study was to investigate hospitalized children due to hydatid cysts in terms of clinical signs and paraclinical findings in Shahid Rahimi Hospital in Khorramabad from 2012 to 2020.
Methods: This is a retrospective, descriptive, cross-sectional study. The study population included children under 18 years with hydatid cyst who had been hospitalized in Shahid Rahimi Hospital in Khorramabad from 2012 to 2020.
Results: In this study, the files of 14 children with hydatid cysts were reviewed. Nine patients (64.3%) were female and 5 (35.7%) were male. 14.3% of the patients were under 6 years old, 50% aged 6 to 12 years, and 35.7% were over 12 years old. 21.4% of the patients were urban and 78.6% rural residents. The liver was involved in 42.7% and the lungs in 57.3% of the cases. The most frequent complaints were abdominal pain (22%), ague (16%), cough (16%), and nausea (13%). 7.1% had a moderate and 92.9% a good prognosis. 42.9% had small, 42.9% moderate, and 14.3% large cyst sizes. 57.1% had one, 35.7% three, and 7.1% four hydatid cysts. 71.4% had positive and 28.6% negative antibodies. 14.3% had positive and 85.7% negative lymphocytosis. 42.9% had positive and 57.1% negative eosinophilia. Among the patients, 57.1% had negative and 42.9% positive CRP. 42.9% had positive and 57.1% negative ESR. 21.4% had positive and 78.6% negative AST. 28.6% had positive and 71.4% negative ALT. All the cases had surgical treatment.
Discussion and conclusion: According to the results of this study, there was a significant relationship between residence and disease. In other words, the number of the patients with hydatid cysts in villages was higher than the number in cities. Also, most of the patients with hydatid cyst had a good prognosis. There was a significant relationship between lymphocytosis and hydatid cyst. In addition, there was a significant relationship between negative AST and hydatid cyst. In other words, most of the patients (78.6%) had negative AST.
Keywords: Hydatid Cyst, Children, Clinical, Khorramabad
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