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Öğe Evaluation of cases with diabetic ketoacidosis monitorized in intensive care units(Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi, 2011) Tutanc, Murat; Celik, Tanju; Basarslan, Fatmagul; Gunes, Ali; Konca, Capan; Yel, Servet; Bosnak, MehmetObjective: In this study, we have investigated the demographic and clinical characteristics of pediatric cases with diabetic - ketoacidosis (DKA) followed-up in intensive care units. Methods: This is a retrospective analysis of all patients' files with respect to their demographic factors as gender, complaints, age and clinical features. Mann Whitney U and chi-square statistical tests were performed. Results: The study group consists 16 female and 9 male children with a mean age of 9.9 +/- 3.7 years. The most frequent complaints of the cases were dyspnea, polydipsia, weight loss and polyuria in decreasing order of frequency. They admitted to the hospital because of respiratory distress, tachypnea tachycardia and acidosis. They treated by DKA protocol in the intensive care unit. We normalized Glasgow Coma Scores (GKS) in 12 +/- 5, blood sugar levels in 14 +/- 7, and blood gas levels in 14 +/- 7 hours. Any complication had not developed and the patients under glycemic control were discharged from the hospital with recommendations for outpatient follow-up. Conclusion: DKA cases could be treated rapidly and successfully thanks to accurate and rapid diagnosis followed by strict monitorization protocol. In conclusion we wanted to emphasize that monitorization of patients with DKA should be performed in pediatric intensive care units.Öğe Peroral poisoning leading to lung complications(Dr Behcet Uz Cocuk Hastaliklari Ve Cerrahisi, 2012) Tutanc, Murat; Karcioglu, Murat; Kocamaz, Halil; Gunes, Ali; Ozel, Abdlkadir; Bosnak, Mehmet; Haspolat, KenanObjective: Hydrocarbon compounds swallowed orally show their effects with tissue hypoxia, pulmonary irritation, and systemic toxicities. Pulmonary damage leads to various complications leading to death. In this study, cases of poisoning with paint thinner, turpentine, and kenaz were reported to call attention to the subject. Methods: Information related to the patients were gathered, retrospectively. Effects of inhaled corticosteroids for pulmonary complications were evaluated. Results were discussed in the light of the literature. Results: Twelve of them presented with pulmonary rales, six patients manifested severe respiratory distress, five patients had leukocytosis, and five patients fever. Besides three patients were unconscious, and two patients had impaired liver function tests. Interestingly, respiratory symptoms became prominent after a period of 24 hours in five patients. All patients were discharged within a period of 3 to 8 days after medical treatment. Conclusion: We used inhaled corticosteroids for the treatment of pulmonary complications, but further studies are required to certainly assert their beneficial effects in this field. Most of such type of poisoning can be avoided. On the other hand, parents should be aware of such dangers.