Musa KAYA, Cemil KAVALCI, Beliz ÖZTOK TEKTEN

HEMORAJİK İNME - İSKEMİK İNME AYIRICI TANISINDA HEMATOLOJİK PARAMETRELERİN VE CRP’NİN YERİ

Amaç: İnme, kardiyovasküler hastalıklar ve kanserlerden sonra üçüncü en yaygın ölüm nedenidir. CRP ve tam kan sayımı parametrelerinin iskemik ve hemorajik inmenin erken ayrımında rolü olup olmadığını araştırdık. Materyal ve Metod: Arşiv kayıtlarını kullanarak retrospektif bir çalışma yaptık. 5 Kasım 2015 ile 5 Kasım 2017 tarihleri arasında iskemik veya hemorajik inme tanısı alan hastalar çalışmaya dahil edilmiştir. Dahil edilen hastaların demografik verileri, temel semptom ve bulguları, bilgisayarlı tomografi ve manyetik rezonans görüntüleme sonuçları elde edildi. Hastaların trombosit sayısı, ortalama trombosit hacmi, hemoglobin konsantrasyonu, ortalama korpüsküler hacmi, beyaz küre sayısı ve C - reaktif protein sonuçları kayıt altına alınmıştır. Bulgular: Çalışmaya dahil edilen 100 hastanın 68'inde (% 68) iskemik inme vardı. Kalan 32 (% 32) hastaya hemorajik inme tanısı kondu. Kadınlarda ortalama yaş 75.35 ± 1.7, erkeklerde 71.06 ± 1.9 idi. Hemorajik inmeli hastalarda iskemik inmeli hastalara göre ortalama trombosit hacmi (p = 0,009) ve beyaz küre sayısı (p = 0,006) daha yüksekti ve istatistiksel olarak anlamlı çıkmıştır. Sonuç: Ortalama trombosit hacmi ve beyaz kan hücresi sayısı hemorajik inmede daha yüksek görünse de, daha bilgilendirici sonuçlar için daha ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

iNME, MPV, WBC

ROLE OF HAEMATOLOGICAL PARAMETERS AND C-REACTIVE PROTEIN IN DISCRIMINATION OF ISCHEMIC AND HEMORRHAGIC STROKE

Objective: Stroke is the third most common cause of death after cardiovascular diseases and cancers. We investigated whether CRP and complete blood count parameters had a role for early differentiation of ischemic and hemorrhagic stroke. Material and Method: We performed a retrospective study by using archive records. Patients diagnosed with ischemic or hemorrhagic stroke between November 5, 2015 and November 5, 2017 were included in the study. Demographic data, main symptoms and signs, computerized tomography and magnetic resonance imaging results of included patients were obtained. Platelet count, mean platelet volume, hemoglobin concentration, mean corpuscular volume, white blood cell count and C - reactive protein results of the patients were noted. Results: Of 100 patients entering the study, 68 (%68) had ischemic stroke. The remaining 32 (%32) patients were diagnosed with hemorrhagic stroke. The mean age was 75.35 ± 1.7 for women and 71.06 ± 1.9 for men. Mean platelet volume (p= 0.009) and white blood cell count (p= 0.006) were higher and statistically significant in the patients with hemorrhagic stroke compared to those with ischemic stroke. Conclusion: Even though mean platelet volume and white blood cell count seemed to be higher in hemorrhagic stroke, further studies are needed for more informative results.

Keywords:

STROKE, MPV, WBC,

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