Akademik Veri Yönetim Sistemi
Turk Pediatri Arsivi, cilt.41, sa.3, ss.146-150, 2006 (SCI-Expanded, Scopus, TRDizin)
Aim: After vascular injury, if integrity of circulatory system could not be maintained and blood coagulation does not initiated, bleeding occurs. Excessive blood loss is a result of conjenital or acquired disease of platelets, endothelial cells or coagulation factors. Bleeding is a severe symptom threatening families forcing them to go an emergency department. Material and Method: In this study, we investigated 78 patients complaining from bleeding who came to emergency ward of Cerrahpasa Medical Faculty Hospital in İstanbul, between January 1998 and January 2003. Results: Hematuria is the most common bleeding symptom (20/78 ; 26%). Urinary tract infection was the etiological reason in 30% of these patients. Gastrointestinal bleeding ( hematemesis, melena and hematochezia) was seen in 20 (26%) cases. Acute gastoenteritis was the reason for hematochezia (33%) while gastritis, esophagitis and ulser were the etiological verifications of melena and hematemesis. Epistaxis was the third most common reason for bleeding (18/78; 23 %) with upper respiratory tract infections found in 60 %. Skin bleedings ( petechiae 10/78; ecchymosis 4/78) were detected in 18 % patients. Idiopathic thrombocytopenic purpura was the reason in 80%. Malignacy was evaluated in 10 % whilst traumatic injury was the reason in 50 %. Often hemorrhagic diatesis was the differential diagnosis when bleeding was seen from mucosa, into soft tissue, or as hemartrosis. No patient was lost due to bleeding. Conclusions: Bleeding is an urgent situation for diagnosis and treatment. The most common etiological factors must be taken into consideration in order to avoid unnecessary expensive laboratory evaluation with a good history and clinical verifications for an exact diagnosis.