مجله علوم پزشکی پارس

علل دیس پنه ناگهانی زنان باردار در بیمارستان های دانشگاه علوم پزشکی ارومیه در سال ۱۳۹۷ تا ۱۳۹۸

نویسندگان

1 فوق تخصص ریه، استادیار بیماری های داخلی، گروه بیماری های داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی ارومیه، ارومیه،ایران

2 دانشجوی ی پزشکی، دانشکده پزشکی، دانشگاه علوم پزشکی ارومیه، ارومیه،ایران

3 فوق تخصص پریناتالوژی، استادیار مرکز تحقیقات چاقی مادر و کودک، دانشگاه علوم پزشکی ارومیه، ارومیه،ایران

چکیده

مقدمه: هدف از مطالعه حاضر، تعیین علل دیس پنه ناگهانی در زنان باردار مراجعه کننده به بیمارستان های دانشگاه علوم پزشکی ارومیه در سال های 1397 تا 1398 و بررسی ارتباط آن با تغییرات دی دایمر در این بیماران بود.  
روش کار: در این مطالعه ی توصیفی، ۵۰ نفر از زنان باردار با شکایت دیس پنه ناگهانی که طی سال های 1397 تا 1398 به بخش داخلی بیمارستان امام خمینی و بخش کوثر بیمارستان مطهری ارومیه مراجعه کرده بودند، وارد مطالعه شدند. داده های مربوط به تغییرات
دی دایمر  و سایر یافته های پاراکلینیکی به کمک نرم افزار SPSS تحلیل شدند. 
یافته ها: بیست نفر از افراد مورد مطالعه (40 درصد) دی دایمر مثبت داشتند که ۱۶ نفر آن ها دارای علل پاتولوژیک شناخته شده بودند.  هیچ یک از افراد با دی دایمر منفی بیماری پاتولوژیک قابل نشخیصی نداشتند. آزمون مربع کای یک ارتباط مثبت و معنادار بین افزایش مقدار دی دایمر و حوادث پاتولوژیک دوران حاملگی نشان داد (p<0.0001).
نتیجه گیری: نتایج بدست آمده در روند درمان بیماران در این مطالعه حاکی از آن بود که افزایش دی دایمر در طول حاملگی به علت حوادث ترومبوآمبولیک یا دیگر تغییرات و اختلالات پاتولوژیک است.

کلیدواژه‌ها

عنوان مقاله [English]

Assessment of the causes of sudden dyspnea in pregnant women in hospitals of Urmia University of Medical Sciences in 2018-2019

نویسندگان [English]

  • Masoumeh Rabiepour 1
  • Amin Besharat 2
  • Shabnam Vazifekhah 3

1 Fellowship in Lung Disease, Assistant Professor of Internal Medicine, Department of Internal Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia. Iran

2 Medical students, School of Medicine, Urmia University of Medical Sciences, Urmia. Iran

3 Fellowship in perinatology, Assistant Professor of Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia. Iran

چکیده [English]

Background: This study aimed to determine the causes of sudden dyspnea in pregnant women referred to the hospitals of Urmia University of Medical Sciences in 2018-2019 and to investigate the relationship between these causes and dimer changes in these patients.

Method: In this descriptive-analytical study, 50 pregnant women with sudden dyspnea complaints were referred to the internal ward of Imam Khomeini Hospital in the Urmia and Kosar ward of Motahhari Hospital in Urmia 2018-2019 were included in the study. Information about D-dimer changes and other paraclinical findings were entered into unique forms, and the results were analyzed after entering SPSS software.

Results: In this study, between 50 pregnant women, 20 women had positive D-dimer, of which 16 had positive D-dimer with a known pathological cause, and only 4 had high D-dimer without any clinical or paraclinical findings. Of the thirty patients with negative D- dimer, none had a detectable pathological disease. Chi-Square test (showed a positive and significant relationship between D-dimer and pathological events during pregnancy) p <0.0001 (


Conclusion: The results obtained in patients' treatment process in this study indicate that the increase in D-dimer during pregnancy is due to thromboembolic events or other pathological changes and disorders.
 

کلیدواژه‌ها [English]

  • Dyspnea
  • Thromboembolism
  • Pregnancy
  • D-Dimer
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مجله علوم پزشکی پارس
دوره 19، شماره 2 - شماره پیاپی 56
تیر 1400
صفحه 38-44