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大气压力变化是否是咯血的独立危险因素?

Is atmospheric pressure change an Independent risk factor for hemoptysis?

机构信息

Dr. Omer Araz, Assistant Professor, Department of Pulmonary Diseases, Ataturk University School of Medicine, 25240, Erzurum, Turkey.

Dr. Elif Yilmazel Ucar, Assistant Professor, Department of Pulmonary Diseases, Ataturk University School of Medicine, 25240, Erzurum, Turkey.

出版信息

Pak J Med Sci. 2014 May;30(3):596-600. doi: 10.12669/pjms.303.5063.

Abstract

OBJECTIVE

Hemoptysis is one of the most important and challenging symptoms in pulmonary medicine. Because of the increased number of patients with hemoptysis in certain periods of the year, we aimed to investigate whether atmospheric changes have an effect on the development of hemoptysis with or without a secondary cause.

METHODS

The data of patients presenting with hemoptysis between January 2006 and December 2011 were analyzed. Data on the daily atmospheric pressure (hectopascal, hPa), relative humidity (%), and temperature ((o) C) during that time were obtained.

RESULTS

A total of 232 patients with hemoptysis, 145 male (62.5%) and 87 female (37.5%) with an average age of 48.1(±17.6), were admitted to our hospital between 2006 and 2011. The highest admission rates were in the spring season, the highest in May (n=37, 15.9%), and the lowest admission rates were in December (n=10, 4.3%). A statistically significant negative correlation was found between the number of hemoptysis cases and mean atmospheric pressure but no relative humidity or outdoor temperature.

CONCLUSION

Hemoptysis is very much influenced by weather factors; in particular, low atmospheric pressures significantly affect the development of hemoptysis. Fluctuations in atmospheric pressure may also play a role in hemoptysis.

摘要

目的

咯血是肺部医学中最重要和最具挑战性的症状之一。由于某些时期咯血患者数量增加,我们旨在研究大气变化是否对伴有或不伴有继发原因的咯血的发生有影响。

方法

分析了 2006 年 1 月至 2011 年 12 月期间出现咯血的患者的数据。在此期间,获得了每日大气压力(百帕斯卡,hPa)、相对湿度(%)和温度(摄氏度)的数据。

结果

共有 232 例咯血患者,其中 145 例男性(62.5%)和 87 例女性(37.5%),平均年龄为 48.1(±17.6)岁。2006 年至 2011 年期间,患者住院人数最多的是春季,其中 5 月(n=37,15.9%)最高,12 月(n=10,4.3%)最低。发现咯血病例数与平均大气压呈显著负相关,但与相对湿度或室外温度无关。

结论

咯血受天气因素的影响很大;特别是,低大气压会显著影响咯血的发生。大气压力的波动也可能在咯血中起作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0411/4048514/c803e9fc9a6e/pjms-30-596-g001.jpg

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