大面积肺栓塞尸检发生率的季节性变化。
Seasonal variation in the necropsy incidence of massive pulmonary embolism.
作者信息
Green J, Edwards C
机构信息
Department of Histopathology, East Birmingham Hospital.
出版信息
J Clin Pathol. 1994 Jan;47(1):58-60. doi: 10.1136/jcp.47.1.58.
AIMS
To investigate the seasonal incidence of massive pulmonary embolism at necropsy.
METHODS
Massive pulmonary embolism was defined as a recent thromboembolus occluding the pulmonary trunk or one or both main pulmonary arteries and constituting the main cause of death. A total of 4289 necropsies carried out at East Birmingham Hospital from 1979 to 1988 was reviewed. The number of subjects with massive pulmonary embolism was noted and the accumulated percentage for each calendar month was calculated.
RESULTS
Massive pulmonary embolism was found in 13.02% of necropsies carried out in April; in September and October the percentage rose to 14.29 and 14.19, respectively, after falling to 8.04 and 7.80 in June and July. In January and February the incidence fell again to about 9%.
CONCLUSIONS
The incidence of massive pulmonary embolism at East Birmingham Hospital is highest in the spring and autumn. Investigation of the seasonal incidence in arctic and tropical areas would be of interest.
目的
调查尸检时大面积肺栓塞的季节性发病率。
方法
大面积肺栓塞定义为近期血栓栓塞阻塞肺动脉主干或一侧或双侧主肺动脉，并构成主要死因。回顾了1979年至1988年在东伯明翰医院进行的4289例尸检。记录大面积肺栓塞患者的数量，并计算每个日历月的累计百分比。
结果
4月份进行的尸检中有13.02%发现大面积肺栓塞；9月和10月该百分比分别升至14.29%和14.19%，此前6月和7月降至8.04%和7.80%。1月和2月发病率再次降至约9%。
结论
东伯明翰医院大面积肺栓塞的发病率在春季和秋季最高。对北极和热带地区季节性发病率的调查将很有意义。
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