{"id":4066,"date":"2026-10-15T02:35:29","date_gmt":"2026-10-15T01:35:29","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/tisbi\/sirs-kriterleri-hesaplayici\/"},"modified":"2026-10-15T02:35:29","modified_gmt":"2026-10-15T01:35:29","slug":"sirs-kriterleri-hesaplayici","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/sirs-kriterleri-hesaplayici\/","title":{"rendered":"SIRS Kriterleri Hesaplay\u0131c\u0131s\u0131"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Vital bulgular\u0131n\u0131z\u0131 ve laboratuvar sonu\u00e7lar\u0131n\u0131z\u0131 SIRS kriterleriyle kar\u015f\u0131la\u015ft\u0131r\u0131n<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"4066\" data-favorite-title=\"SIRS Kriterleri\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/sirs-kriterleri-hesaplayici\/\" data-favorite-excerpt=\"Ya\u015famsal bulgular\u0131 ve laboratuvar de\u011ferlerini (v\u00fccut s\u0131cakl\u0131\u011f\u0131, kalp at\u0131m h\u0131z\u0131, solunum say\u0131s\u0131, PaCO\u2082, beyaz k\u00fcre say\u0131s\u0131, \u00e7omak n\u00f6trofiller) girerek ka\u00e7 SIRS kriterinin kar\u015f\u0131land\u0131\u011f\u0131n\u0131 ve \u2265 2 e\u015fi\u011fine ula\u015f\u0131l\u0131p ula\u015f\u0131lmad\u0131\u011f\u0131n\u0131 kontrol edin.\" aria-label=\"Favorilere ekle\" data-favorite-icon=\"icon icon-flask\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/tr\/tisbi\/sirs-kriterleri-hesaplayici\/\" method=\"POST\" class=\"calculator\" id=\"calculator-4066\" data-post=\"4066\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field has-term\" id=\"input-1\"><label for=\"field-1\">V\u00fccut s\u0131cakl\u0131\u011f\u0131<\/label><div class=\"term\">T<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"vcut_scakl\" id=\"field-1\" aria-describedby=\"calc-info-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 38.5\" min=\"30\" max=\"43.5\" value=\"38.5\"\/><div class=\"grid grid-cols-1\"><select id=\"field-2\" name=\"birim\" aria-label=\"Birim\"><option value=\"c\" selected>\u00b0C<\/option><option value=\"f\">\u00b0F<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-1\">\u00d6l\u00e7\u00fclen v\u00fccut s\u0131cakl\u0131\u011f\u0131<\/small><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-3\">Nab\u0131z<\/label><div class=\"term\">HR<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"nabz\" id=\"field-3\" aria-describedby=\"calc-unit-3 calc-info-3\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 95\" min=\"20\" max=\"250\" value=\"95\"\/><div class=\"unit\" id=\"calc-unit-3\">at\u0131m\/dk<\/div><small id=\"calc-info-3\">Dakikadaki at\u0131m say\u0131s\u0131<\/small><\/div><div class=\"field has-term\" id=\"input-3\"><label for=\"field-4\">Solunum say\u0131s\u0131<\/label><div class=\"term\">RR<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"solunum_says\" id=\"field-4\" aria-describedby=\"calc-unit-4 calc-info-4\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"e.g. 22\" min=\"4\" max=\"80\" value=\"22\"\/><div class=\"unit\" id=\"calc-unit-4\">nefes\/dk<\/div><small id=\"calc-info-4\">Dakikadaki nefes say\u0131s\u0131<\/small><\/div><div class=\"field has-term\" id=\"input-4\"><label for=\"field-5\">PaCO\u2082 (iste\u011fe ba\u011fl\u0131)<\/label><div class=\"term\">PaCO\u2082<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"paco_istee_bal\" id=\"field-5\" aria-describedby=\"calc-unit-5 calc-info-5\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"\u00f6rn. 30 \u2014 \u00f6l\u00e7\u00fclmediyse bo\u015f b\u0131rak\u0131n\" min=\"10\" max=\"120\" value=\"30\"\/><div class=\"unit\" id=\"calc-unit-5\">mmHg<\/div><small id=\"calc-info-5\">Kan gaz\u0131ndan arteriyel CO\u2082 \u2014 32 mmHg&#039;nin alt\u0131ndaki bir de\u011fer de solunum kriterini sa\u011flar<\/small><\/div><div class=\"field has-term\" id=\"input-5\"><label for=\"field-6\">L\u00f6kosit say\u0131s\u0131 (iste\u011fe ba\u011fl\u0131)<\/label><div class=\"term\">WBC<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><div class=\"field-group\"><input type=\"text\" name=\"lkosit_says_istee_bal\" id=\"field-6\" aria-describedby=\"calc-info-6\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"\u00f6rn. 13500 \u2014 \u00f6l\u00e7\u00fclmediyse bo\u015f b\u0131rak\u0131n\" min=\"0.1\" max=\"100000\" value=\"13500\"\/><div class=\"grid grid-cols-1\"><select id=\"field-7\" name=\"birim\" aria-label=\"Birim\"><option value=\"ul\" selected>h\u00fccre\/\u00b5L<\/option><option value=\"gl\">\u00d710\u2079\/L<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><small id=\"calc-info-6\">Tam kan say\u0131m\u0131ndaki toplam l\u00f6kosit de\u011feri<\/small><\/div><div class=\"field has-term\" id=\"input-6\"><label for=\"field-8\">\u00c7omak n\u00f6trofiller (iste\u011fe ba\u011fl\u0131)<\/label><div class=\"term\">\u00c7omak<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"omak_ntrofiller_istee_bal\" id=\"field-8\" aria-describedby=\"calc-unit-8 calc-info-8\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"\u00f6rn. 5 \u2014 \u00f6l\u00e7\u00fclmediyse bo\u015f b\u0131rak\u0131n\" min=\"0\" max=\"60\" value=\"5\"\/><div class=\"unit\" id=\"calc-unit-8\">%<\/div><small id=\"calc-info-8\">Diferansiyel yaymada g\u00f6r\u00fclen olgunla\u015fmam\u0131\u015f (\u201c\u00e7omak\u201d) n\u00f6trofiller \u2014 %10&#039;un \u00fczerinde olmas\u0131 da l\u00f6kosit kriterini sa\u011flar<\/small><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"4066\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> SIRS de\u011ferlendirmeniz<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Sa\u011flanan SIRS kriterleri<\/span><span class=\"result-term\">Say\u0131<\/span><\/span><span class=\"field-value\" id=\"result-1\" data-unit=\"\/4\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>SIRS e\u015fi\u011fine (\u2265 2 kriter) ula\u015f\u0131ld\u0131<\/span><span class=\"result-term\">SIRS<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result is-column\" id=\"output-3\"><span class=\"field-title\"><span>Kriterlerin ayr\u0131nt\u0131s\u0131 ve yorumu<\/span><\/span><span class=\"field-value\" id=\"result-3\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Yorum b\u0131rak<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"4066\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">Be\u011fendim <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Faydal\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Kafam kar\u0131\u015ft\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Hatal\u0131 <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>SIRS Kriterleri Form\u00fcl\u00fc<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{Kar\u015f\u0131lanan SIRS kriteri} = [T &gt; 38\\,^\\circ\\mathrm{C} \\text{ veya } T  90\\ \\mathrm{bpm}] + [\\mathrm{RR} &gt; 20\\,\/\\mathrm{min} \\text{ veya } \\mathrm{PaCO_2}  12\\,000\/\\mu\\mathrm{L},\\ \\mathrm{WBC}  10\\%] \\]\n\\[ \\mathrm{SIRS} \\ \\text{\u015fu durumda mevcuttur:} \\ \\text{kar\u015f\u0131lanan SIRS kriteri} \\ge 2 \\]<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Buradaki:<\/strong><\/p>\n<ul>\n<li>\\(T\\) \u2014 v\u00fccut s\u0131cakl\u0131\u011f\u0131 (\u00b0C; &gt; 38\u00b0C veya &lt; 36\u00b0C olmas\u0131 anormal kabul edilir)<\/li>\n<li>\\(\\mathrm{HR}\\) \u2014 kalp at\u0131m h\u0131z\u0131 (at\u0131m\/dakika)<\/li>\n<li>\\(\\mathrm{RR}\\) \u2014 solunum say\u0131s\u0131 (solunum\/dakika)<\/li>\n<li>\\(\\mathrm{PaCO_2}\\) \u2014 arteriyel karbondioksit bas\u0131nc\u0131 (mmHg)<\/li>\n<li>\\(\\mathrm{WBC}\\) \u2014 beyaz k\u00fcre (l\u00f6kosit) say\u0131s\u0131 (h\u00fccre\/\u00b5L)<\/li>\n<li>\\(\\mathrm{bands}\\) \u2014 \u00e7omak \u00e7ekirdekli (bant) n\u00f6trofillerin permiferik yaymada ki y\u00fczdesi<\/li>\n<li>\\([\\cdot]\\) \u2014 k\u00f6\u015feli parantez i\u00e7indeki ko\u015ful do\u011fruysa 1, yanl\u0131\u015fsa 0 de\u011ferini al\u0131r (Iverson g\u00f6sterimi)<\/li>\n<\/ul>\n<p>D\u00f6rt kritikten her biri e\u015fi\u011fi a\u015ft\u0131\u011f\u0131nda bir puan kazand\u0131r\u0131r; iki veya daha fazla puan, sistemik inflamatuar yan\u0131t sendromunu (SIRS) tan\u0131mlar.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>SIRS Kriterleri \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> v\u00fccut s\u0131cakl\u0131\u011f\u0131 38,5\u00b0C, kalp at\u0131m h\u0131z\u0131 95 at\u0131m\/dakika, solunum say\u0131s\u0131 22 solunum\/dakika, PaCO\u2082 30 mmHg, beyaz k\u00fcre say\u0131s\u0131 13.500\/\u00b5L ve %5 \u00e7omak \u00e7ekirdekli n\u00f6trofili olan bir hasta.<\/p>\n<p>\\[ [38.5 &gt; 38] + [95 &gt; 90] + [22 &gt; 20 \\ \\text{veya} \\ 30  12\\,000 \\ \\text{veya} \\ 5 &gt; 10] = 1 + 1 + 1 + 1 = 4 \\]<\/p>\n<p><strong>Sonu\u00e7:<\/strong> 4 SIRS kriterinin 4'\u00fc kar\u015f\u0131lan\u0131yor; SIRS e\u015fi\u011fi (\u2265 2 kriter) a\u00e7\u0131k\u00e7a a\u015f\u0131lm\u0131\u015ft\u0131r. Bu tablo, nedenin \u2014 \u00f6zellikle de enfeksiyonun, ki bu durumda sepsis s\u00f6z konusu olur \u2014 acilen ara\u015ft\u0131r\u0131lmas\u0131n\u0131 gerektirir.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplay\u0131c\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li>\u00d6l\u00e7\u00fclen <strong>V\u00fccut s\u0131cakl\u0131\u011f\u0131n\u0131<\/strong> girin ve birimi se\u00e7in (\u00b0C veya \u00b0F). Hesaplay\u0131c\u0131 de\u011feri otomatik olarak santigrata \u00e7evirir.<\/li>\n<li><strong>Kalp at\u0131m h\u0131z\u0131n\u0131<\/strong> at\u0131m\/dakika cinsinden girin.<\/li>\n<li><strong>Solunum say\u0131s\u0131n\u0131<\/strong> solunum\/dakika cinsinden girin.<\/li>\n<li>Kan gaz\u0131 al\u0131nm\u0131\u015fsa <strong>PaCO\u2082<\/strong> de\u011ferini mmHg cinsinden girin \u2014 32 mmHg'nin alt\u0131ndaki bir de\u011fer de solunum kriterini kar\u015f\u0131lar. \u00d6l\u00e7\u00fcm yap\u0131lmad\u0131ysa bu alan\u0131 bo\u015f b\u0131rak\u0131n.<\/li>\n<li>Tam kan say\u0131m\u0131 mevcutsa <strong>Beyaz k\u00fcre say\u0131s\u0131n\u0131<\/strong> (h\u00fccre\/\u00b5L veya \u00d710\u2079\/L se\u00e7in) ve <strong>\u00c7omak \u00e7ekirdekli n\u00f6trofil<\/strong> y\u00fczdesini girin. Her iki alan da iste\u011fe ba\u011fl\u0131d\u0131r.<\/li>\n<li>Sonucu okuyun: kar\u015f\u0131lanan kriter say\u0131s\u0131 (4 \u00fczerinden), SIRS e\u015fi\u011fi olan \u2265 2'ye ula\u015f\u0131l\u0131p ula\u015f\u0131lmad\u0131\u011f\u0131 ve hangi kriterlerin kar\u015f\u0131land\u0131\u011f\u0131n\u0131, hangi verilerin eksik oldu\u011funu g\u00f6steren ayr\u0131nt\u0131l\u0131 bir d\u00f6k\u00fcm.<\/li>\n<\/ol>\n<h2>SIRS kriterleri nedir?<\/h2>\n<p>Sistemik inflamatuar yan\u0131t sendromu (SIRS), v\u00fccudun genelize inflamatuar durumu olup 1992'de ACCP\/SCCM konsens\u00fcs konferans\u0131 taraf\u0131ndan tan\u0131mlanm\u0131\u015ft\u0131r. Kendi ba\u015f\u0131na bir hastal\u0131k de\u011fil; enfeksiyon, travma, yan\u0131klar, pankreatit, b\u00fcy\u00fck cerrahi giri\u015fimler, kanama ya da imm\u00fcn arac\u0131l\u0131 durumlar gibi bir\u00e7ok tetikleyiciyle ortaya \u00e7\u0131kabilen fizyolojik anormalliklerin olu\u015fturdu\u011fu bir tablodur. Tan\u0131mda kolayca \u00f6l\u00e7\u00fclebilen d\u00f6rt parametre kullan\u0131l\u0131r \u2014 v\u00fccut s\u0131cakl\u0131\u011f\u0131, kalp at\u0131m h\u0131z\u0131, solunum say\u0131s\u0131 (veya PaCO\u2082) ve beyaz k\u00fcre say\u0131s\u0131 (veya \u00e7omak n\u00f6trofil oran\u0131) \u2014 ve bu parametrelerden en az ikisinin anormal olmas\u0131 gerekir.<\/p>\n<p>SIRS'\u0131n as\u0131l de\u011feri h\u0131z\u0131nda ve basitli\u011finde yatar. Ba\u015fucunda ya da triyajda kriterler, hi\u00e7bir laboratuvar sonucu gelmeden, temel ya\u015famsal bulgulardan saniyeler i\u00e7inde kontrol edilebilir. \u0130ki veya daha fazla kriterin kar\u015f\u0131lanmas\u0131, hastada sistemik bir hastal\u0131k geli\u015fiyor olabilece\u011fine ve daha yak\u0131ndan izleme, ileri ara\u015ft\u0131rma ile enfeksiyondan \u015f\u00fcpheleniliyorsa h\u0131zl\u0131 tedavi gerekti\u011fine dair bir sinyaldir. Kriterlerin kar\u015f\u0131lanmas\u0131 hi\u00e7bir spesifik hastal\u0131\u011f\u0131 te\u015fhis etmez \u2014 yaln\u0131zca fizyolojik stresi i\u015faret eder.<\/p>\n<p>SIRS'\u0131n en \u00f6nemli klinik uygulamas\u0131 sepsisin tan\u0131nmas\u0131d\u0131r: SIRS bir enfeksiyon \u015f\u00fcphesinden veya kan\u0131tlanm\u0131\u015f enfeksiyondan kaynaklan\u0131yorsa hasta sepsislidir; bu da tedavideki her gecikmenin sonucu k\u00f6t\u00fcle\u015ftirdi\u011fi bir t\u0131bbi acildir. Ancak SIRS bilin\u00e7li olarak spesifik de\u011fil, duyarl\u0131 olacak \u015fekilde tasarlanm\u0131\u015ft\u0131r \u2014 enfeksiyon olmadan da bir\u00e7ok yatan hasta kriterleri kar\u015f\u0131lar, ciddi enfeksiyonu olan baz\u0131 hastalarda (\u00f6zellikle ya\u015fl\u0131larda ve imm\u00fcns\u00fcpresiflerde) ise hi\u00e7 SIRS yan\u0131t\u0131 geli\u015fmez. 2016'dan beri Sepsis-3 tan\u0131mlar\u0131 qSOFA ve SOFA skorlar\u0131na dayanmaktad\u0131r; yine de SIRS h\u0131zl\u0131 bir tarama g\u00f6stergesi olarak yayg\u0131n bi\u00e7imde kullan\u0131lmaya devam etmektedir ve alternatif ba\u015fucu skorunu <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/qsofa-skor-hesaplayici\/\">qSOFA Skoru Hesaplay\u0131c\u0131m\u0131zla<\/a> de\u011ferlendirebilirsiniz.<\/p>\n<h2>Sonucun yorumlanmas\u0131<\/h2>\n<ul>\n<li><strong>0\u20131 kriter kar\u015f\u0131lanm\u0131\u015f:<\/strong> SIRS e\u015fi\u011fine ula\u015f\u0131lmam\u0131\u015ft\u0131r. Bu durum, ciddi bir sistemik hastal\u0131k olas\u0131l\u0131\u011f\u0131n\u0131 azalt\u0131r ama ortadan kald\u0131rmaz \u2014 k\u00f6t\u00fc g\u00f6r\u00fcn\u00fcmde olan hasta, skordan ba\u011f\u0131ms\u0131z olarak yine de de\u011ferlendirilmelidir.<\/li>\n<li><strong>2 kriter kar\u015f\u0131lanm\u0131\u015f:<\/strong> SIRS mevcuttur. Bu, tarama amac\u0131yla kullan\u0131lan klasik e\u015fik de\u011ferdir ve altta yatan nedenin \u2014 enfeksiyon olas\u0131l\u0131\u011f\u0131 varsa k\u00fclt\u00fcrler d\u00e2hil \u2014 ara\u015ft\u0131r\u0131lmas\u0131n\u0131 tetiklemelidir.<\/li>\n<li><strong>3\u20134 kriter kar\u015f\u0131lanm\u0131\u015f:<\/strong> SIRS a\u00e7\u0131k\u00e7a mevcuttur ve kar\u015f\u0131lanan kriter say\u0131s\u0131 artt\u0131k\u00e7a, enfekte ve enfekte olmayan hastalarda bozulma ve mortalite riski de y\u00fckselir.<\/li>\n<li><strong>Eksik laboratuvar de\u011ferleri:<\/strong> PaCO\u2082, beyaz k\u00fcre say\u0131s\u0131 ve \u00e7omak n\u00f6trofil oran\u0131 iste\u011fe ba\u011fl\u0131d\u0131r. Veri eksikli\u011fi nedeniyle bir kriter de\u011ferlendirilemiyorsa asla kar\u015f\u0131lanm\u0131\u015f say\u0131lmaz \u2014 bu nedenle eksik verilerle elde edilen d\u00fc\u015f\u00fck bir skorun ihtiyatla yorumlanmas\u0131 gerekir.<\/li>\n<\/ul>\n<h2>S\u0131n\u0131rlamalar ve pratik \u00f6neriler<\/h2>\n<p>SIRS kriterleri bir tarama arac\u0131d\u0131r, te\u015fhis de\u011fil. Belirleyicilikleri d\u00fc\u015f\u00fckt\u00fcr: egzersiz, kayg\u0131, a\u011fr\u0131, basit bir viral enfeksiyonun ate\u015fi veya yak\u0131n zamanda yap\u0131lan cerrahi m\u00fcdahale de anormal de\u011ferlere yol a\u00e7abilir. \u00d6te yandan beta blokerler ta\u015fikard\u0131y\u0131 maskeleyebilir, ileri sepsiste hipotermi ate\u015fin yerini alabilir (36\u00b0C alt\u0131ndaki s\u0131cakl\u0131k yine de kriter olarak say\u0131l\u0131r) ve ya\u015fl\u0131 ya da imm\u00fcn yetmezlikli hastalarda yan\u0131tlar zay\u0131f olabilir. Sonucu klinik tablo, \u00f6yk\u00fc ve muayeneyle birlikte kullan\u0131n.<\/p>\n<p>Do\u011frulu\u011fu art\u0131ran birka\u00e7 pratik nokta:<\/p>\n<ul>\n<li>Tahminleri de\u011fil, \u00f6l\u00e7\u00fclm\u00fc\u015f de\u011ferleri kullan\u0131n \u2014 tam 90 at\u0131m\/dakikal\u0131k kalp at\u0131m h\u0131z\u0131 say\u0131lmaz; e\u015fik kesinlikle 90'dan y\u00fcksektir.<\/li>\n<li>Beyaz k\u00fcre kriteri i\u00e7in u\u00e7 de\u011ferlerden biri (12.000\/\u00b5L \u00fczeri veya 4.000\/\u00b5L alt\u0131) veya %10'dan fazla \u00e7omak n\u00f6trofil yeterlidir; ikisine birden gerek yoktur.<\/li>\n<li>L\u00f6kopeni (4.000\/\u00b5L alt\u0131 beyaz k\u00fcre say\u0131s\u0131) s\u0131k g\u00f6zden ka\u00e7ar ama kriter olarak say\u0131l\u0131r ve \u00f6zellikle imm\u00fcns\u00fcpresif hastalarda ciddi enfeksiyona i\u015faret edebilir.<\/li>\n<li>De\u011ferlendirmi zaman i\u00e7inde tekrarlay\u0131n \u2014 tek bir anl\u0131k \u00f6l\u00e7\u00fcmdense trendler daha fazla bilgi verir.<\/li>\n<\/ul>\n<p>Sepsis ku\u015fkusu varsa bu taramay\u0131 <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/qsofa-skor-hesaplayici\/\">qSOFA Skoru<\/a> ile, solunum yolu enfeksiyonlar\u0131nda ise <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/curb-65-skor-hesaplama\/\">zat\u00fcrre i\u00e7in CURB-65 Skoru<\/a> ile birle\u015ftirin. <a href=\"https:\/\/wpcalc.com\/tr\/tisbi\/anyon-acigi-hesaplayici\/\">Anyon A\u00e7\u0131\u011f\u0131 Hesaplay\u0131c\u0131s\u0131<\/a> gibi laboratuvar ara\u00e7lar\u0131, ciddi hastal\u0131\u011f\u0131n metabolik sonu\u00e7lar\u0131n\u0131n de\u011ferlendirilmesine yard\u0131mc\u0131 olabilir. Bu hesaplay\u0131c\u0131 yaln\u0131zca bilgilendirme ama\u00e7l\u0131d\u0131r ve t\u0131bbi de\u011ferlendirmenin yerine ge\u00e7mez \u2014 hasta ani olarak k\u00f6t\u00fcle\u015fiyorsa derhal profesyonel de\u011ferlendirme isteyin.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ya\u015famsal bulgular\u0131 ve laboratuvar de\u011ferlerini (v\u00fccut s\u0131cakl\u0131\u011f\u0131, kalp at\u0131m h\u0131z\u0131, solunum say\u0131s\u0131, PaCO\u2082, beyaz k\u00fcre say\u0131s\u0131, \u00e7omak n\u00f6trofiller) girerek ka\u00e7 SIRS kriterinin kar\u015f\u0131land\u0131\u011f\u0131n\u0131 ve \u2265 2 e\u015fi\u011fine ula\u015f\u0131l\u0131p ula\u015f\u0131lmad\u0131\u011f\u0131n\u0131 kontrol edin.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[11],"tags":[33],"class_list":["post-4066","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-tani"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/4066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=4066"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/4066\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=4066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=4066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=4066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}