GAMBARAN HITUNG LEUKOSIT PRE OPERATIF PADA TIAP-TIAP TINGKAT KEPARAHAN APENDISITIS AKUT ANAK (BERDASARKAN KLASIFIKASI CLOUD) DI RSUD ARIFIN ACHMAD PROVINSI RIAU PERIODE JANUARI 2011-DESEMBER 2012

Abstract

Pediatric acute appendicitis is surgical case which one of diagnosis component is
laboratory test. The leukocyte count is one of the most common laboratory tests used
because leukocyte count increased approximately 70% in children with acute
appendicitis. Acute appendicitis in pediatric is based on Cloud Classification consists
of simple, suppurative, gangrene, abscess and perforation. The aim of this study was
investigate pre operative white blood count toward diagnosis of acute appendicitis in
pediactric based on Cloud Classification. This retrospective descriptive study was
done since February 2014. About 75 patients were include in this study. Data were
obtained from medical record at Department of Surgical RSUD Arifin Achmad
Period January 2011-December 2012. It was found that the largest age group 13-18
year (78,7%). The number of men and women was relatively equal. A total of 61,3%
of children had leukocytosis and leukocyte count mean value increases with the
severity of appendicitis, there were simple 12.500/mm3, suppurative 14.000/mm3,
gangrene 15.800/mm3, abscess 17.400/mm3 and perforation 22.000/mm3. The
conclusion of this study was an increase in leukocytes at each level of appendicitis
based on Cloud Classification.
Key words: pediatric acute appendicitis, leukocyte count, Cloud Classification