{"id":16289,"date":"2021-01-05T01:24:55","date_gmt":"2021-01-04T22:24:55","guid":{"rendered":"https:\/\/www.klimikdergisi.org\/\/2021\/01\/05\/edtaya-bagli-psodotrombositopeni-sonucu-gereksiz-transfuzyon-yapilan-bir-kirim-kongo-kanamali-atesi-olgusu\/"},"modified":"2021-01-05T01:24:55","modified_gmt":"2021-01-04T22:24:55","slug":"edtaya-bagli-psodotrombositopeni-sonucu-gereksiz-transfuzyon-yapilan-bir-kirim-kongo-kanamali-atesi-olgusu","status":"publish","type":"post","link":"https:\/\/www.klimikdergisi.org\/tr\/2021\/01\/05\/edtaya-bagli-psodotrombositopeni-sonucu-gereksiz-transfuzyon-yapilan-bir-kirim-kongo-kanamali-atesi-olgusu\/","title":{"rendered":"EDTA&#39;ya Ba\u011fl\u0131 Ps\u00f6dotrombositopeni Sonucu Gereksiz Transf\u00fczyon Yap\u0131lan Bir K\u0131r\u0131m-Kongo Kanamal\u0131 Ate\u015fi Olgusu"},"content":{"rendered":"<h1>\u00d6zet<\/h1>\n<p> Trombositopeni, K\u0131r\u0131m-Kongo kanamal\u0131 ate\u015fi (KKKA) olan hastalar\u0131n tedavisinde kar\u015f\u0131la\u015f\u0131lan ana problemdir. Burada KKKA tan\u0131s\u0131yla izlenirken refrakter trombositopeni geli\u015fti\u011fi d\u00fc\u015f\u00fcn\u00fclen ve tedavisi s\u0131ras\u0131nda asl\u0131nda ps\u00f6dotrombositopeni oldu\u011fu anla\u015f\u0131lan bir olgu sunulmaktad\u0131r. Elli \u00fc\u00e7 ya\u015f\u0131nda kad\u0131n hasta KKKA \u00f6n tan\u0131s\u0131yla klini\u011fimize Kastamonu\u2019dan sevk edilmi\u015fti. Laboratuvar bulgular\u0131 hemoglobin 11 mg\/dl, beyaz k\u00fcre 3300\/mm3, trombosit 17 000\/mm3 \u015feklinde ve biyokimyasal parametreleri normal s\u0131n\u0131rlardayd\u0131. KKKA virusu IgM antikoru pozitif olarak saptand\u0131. Be\u015f g\u00fcn s\u00fcreyle toplam 4 \u00fcnite aferez trombosit s\u00fcspansiyonu ve 4 \u00fcnite random trombosit s\u00fcspansiyonu verilmesine ra\u011fmen trombositopenisi s\u00fcrd\u00fc. Biyolojik tehlike nedeniyle daha \u00f6nce periferik kan yaymas\u0131 yap\u0131lmam\u0131\u015ft\u0131. Hastaya refrakter trombositopeni tan\u0131s\u0131yla steroid tedavisi verildi. Ancak genel durumu \u00e7ok iyi olmas\u0131na ra\u011fmen trombositopenisi s\u00fcrd\u00fc\u011f\u00fcnden tedavinin be\u015finci g\u00fcn\u00fcnde periferik kan yaymas\u0131 yap\u0131ld\u0131 ve her alanda 10-12\u2019li k\u00fcmeler halinde trombositler g\u00f6r\u00fcld\u00fc. Bu normal g\u00f6r\u00fcn\u00fcm kar\u015f\u0131s\u0131nda etilendiamintetraasetik aside (EDTA) ba\u011fl\u0131 ps\u00f6dotrombositopeniden \u015f\u00fcphelenilerek tam kan say\u0131m\u0131 sitratl\u0131 t\u00fcp kullan\u0131larak yinelendi. Trombosit say\u0131s\u0131 417 000\/mm3 olarak normal s\u0131n\u0131rlar i\u00e7inde bulundu. Genel durumu iyi olan hasta on g\u00fcn i\u00e7inde taburcu edildi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00d6zet Trombositopeni, K\u0131r\u0131m-Kongo kanamal\u0131 ate\u015fi (KKKA) olan hastalar\u0131n tedavisinde kar\u015f\u0131la\u015f\u0131lan ana problemdir. Burada KKKA tan\u0131s\u0131yla izlenirken refrakter trombositopeni geli\u015fti\u011fi d\u00fc\u015f\u00fcn\u00fclen ve tedavisi s\u0131ras\u0131nda asl\u0131nda ps\u00f6dotrombositopeni oldu\u011fu anla\u015f\u0131lan bir olgu sunulmaktad\u0131r. Elli \u00fc\u00e7 ya\u015f\u0131nda kad\u0131n hasta KKKA \u00f6n tan\u0131s\u0131yla klini\u011fimize Kastamonu\u2019dan sevk edilmi\u015fti. Laboratuvar bulgular\u0131 hemoglobin 11 mg\/dl, beyaz k\u00fcre 3300\/mm3, trombosit 17 000\/mm3 \u015feklinde ve [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5131],"tags":[4013,4123],"class_list":["post-16289","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-kirimkongo-kanamali-atesi-virusu","tag-psodotrombositopeni"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16289","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=16289"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/16289\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=16289"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=16289"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=16289"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}