1995-2000 YILLARI ARASINDA KLÝNÝÐÝMÝZDE YATARAK ÝZLENEN FEBRÝL KONVULSÝYONLARIN DEÐERLENDÝRÝLMESÝ

Febril konvulsiyon nedeniyle 1995-2000 tarihleri arasýnda Dr. Lütfi Kýrdar Kartal Eðitim ve Araþtýrma Hastanesi'nde yatarak tedavi gören ve yaþlarý 6 ay-5 yaþ arasýnda olan 45 hasta bu çalýþmaya dahil edildi. Hastalar; etyoloji, ateþ ortalamasý, atak sayýsý, ayný günde geçirdikleri konvulsiyon sayýsý, konvulsiyon süresi, doðum tartýsý, anemi varlýðý ve komplike olup olmadýðý açýsýndan deðerlendirildi. Hastalar etyoloji açýsýndan deðerlendirildiðinde hastalarýn 13'ünde(%29) bronkopnömoni, 10'unda(%22) AGE, 7'sinde(% 16) ÜSYE, 4'ünde(% 9) ÜSYE+bronkopnömoni, 2'sinde(%4.5) AOM. 2'sinde(%4.5) AGE+ÜSYE, 2'sinde(%4.5) ÜSYE+AOM, 2'sinde(%4.5) tonsillit, birinde(%2) sepsis, birinde(%2) AGE+bronkopnömoni saptandý. Hastalarýn ortalama ateþi 39.06C( idi. Hastalar ortalama 1.78 atak geçirmiþ ve ortalama doðum aðýrlýklarý 3226 gr. olan çocuklardý. 34 hasta ayný günde bir kez, 11 hasta birden fazla ortalama 3.54 atak geçirmiþti. 30 dk. ve üstü konvulsiyon geçiren hastalar tüm hastalarýn %20 sini oluþturmaktaydý. Anemi saptanan 22 vakanýn 10'unun hastalýk grubu demir eksikliði ile uyumlu olarak deðerlendirildi. Vakalarýn 29 tanesi komplike olarak deðerlendirildi.

RETROSPECTIVE EVALUATION OF FEBRILE CONVULSIONS FOLLOWED IN OUR CLINIC BETWEEN 1995-2000

45 patients aged between 6 months to 5 years who were admitted to Dr. Lütfi Kýrdar Kartal Training and Research Hospital Pediatrics Clinic were included in this study. Patients were evaluated for etiology, the degree of fever, attack number, the number of febrile convulsions in same day, convulsion time, birth weight, anemia and the presence of complex febrile convulsion. 13(29%) patients were found to have bronchopneumonia, 10(22%) acute gastroenteritis, 7(16%) upper airway infection, 4(9%) upper airway infection + bronchopneumonia, 2(4.5%) acute otitis media, 2(4.5%) acute gastroenteritis + upper airway infection, 2(4.5%) upper airway infection + acute otitis media, 2(4.5%) tonsillitis, one(2%) sepsis, one (2%) acute gastroenteritis + bronchopneumonia. Average fever degree was 39.06 (C. Average attack number was 1.78 and the average birth weight was 3226 gr. 34 patients had one attack, 11 patients had more than one attack in same day. Rate of patients with convulsions lasting more than 30 minutes, was 20%. 10 of 22 patients with anemia were found to be iron deficiency anemia. 29 patients were found to have complex febril convulsion.