BEBEKLERDE POSTOPERATİF HİPERGLİSEMİ, ASİDOZ, HİPOKSİ VE HİPOTERMİ: İKİ OLGU SUNUMU

Murat Tutanç, Vefik Arıca, Fatmagül Başarslan, Murat Karcıoğlu, Işıl Davarcı, Kasım Tuzcu, Tanju Çelik, Emre Ayıntap
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Öz


Bebekler intraoperatif ve postoperatif hipotermi, hipoksi, asidoz, ve hiperglisemi riski altındadırlar. Bu komplikasyonların hepsi ayrı ayrı veya birlikte mortalite ve morbiditede etkili olabilmektedirler ve bunları hızla düzeltmek önem arzetmektedir. Bizim vakalarımızda intraoperatif hiperglisemi, hipoksi, asidoz ve hipotermisi oluşan 2 vaka incelendi. Operasyondan sonra yoğun bakımda takip edilen hastalar verilen tedavi sonrasında hızla düzeldiler. Herhangi bir sekel gözlenmedi. Sonuç olarak intraoperatif strese bağlı hiperglisemi oluşabilmektedir ve kan glukoz düzeylerinin takip edilmesi gerekmektedir. Erken kan glukoz regülasyonunun sağlanması olumlu prognoz açısından önemlidir. Hipoksi, hipotansiyon, asidoz ve hipotermi de hızla tedavi gerektiren sorunlardır. Anestezi altında özellikle uzun süren, vücüd boşluklarının açıldığı, fazla miktarda sıvı ve kan verilmesi gereken girişimlerde, daha dikkatli olunmalıdır.

Anahtar kelimeler: Postoperatif, infant, hiperglisemi, hipotermi, asidoz, hipoksi.

SUMMARY

Babies are at risk of hypothermia, hypoxia, acidosis and hyperglycemia at intraoperative and postoperative term. Since these complications can cause mortality and morbidity prompt intervention is important. In our report we present 2 cases who had intraoperative hyperglycemia, hypoxia, acidosis and hypothermia. They were followed in the intensive care unit and improved in a short time after appropriate therapy. No sequel was observed. Finally hyperglycemia can occur due to intraoperative stress and blood glucose levels should be monitored closely. Early blood glucose regulation is important for favorable prognosis. Hypoxia, hypotension, acidosis and hypothermia are also problems that need prompt intervention. One should be more careful in patients who had anesthesia for a long time, had open body cavity surgeries or received high amounts of fluid or blood during surgery.

Keywords: Postoperative, infant, hyperglycemia, hypotermia, acidosiz, hypoxemia.


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