fa رابطه سطح سرمی سدیم در بدو ورود بیماران مبتلا به آمبولی ریه با پروگنوز آن‌ها در طول بستری بیماری های ریه Lung diseases پژوهشي Original <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">زمینه: </span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">هدف این مطالعه، بررسی</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">رابطه</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">سطح</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">سرمی</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">سدیم</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">بدو</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ورود با</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">پروگنوز</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">بیماران</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">مبتلا</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">به</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">آمبولی</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ریه است.</span></span></span></span><b><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79"></span></span></span></span></b></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">مواد و روش‌ها</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">: <span style="letter-spacing:-.3pt">مطالعه حاضر توصیفی- تحلیلی به شیوه مقطعی است که در آن تعداد 101 بیمار مبتلا به آمبولی ریه که در سال‌های 1389-1398 در بیمارستان شهدای کارگر یزد بستری‌ شده و تحت درمان قرار گرفته‌&shy;اند، مورد مطالعه قرار گرفت.</span></span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"><span style="letter-spacing:-.3pt"></span></span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">یافته‌ها</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">: یافته‌&shy;ها نشان داد بین میانگین سرمی سدیم بدو ورود نمونه‌هایی که بیماری قلبی، ریوی، کانسر و بیماری کلیوی داشتند با سایر افراد، تفاوتی وجود ندارد. میانگین سطح سرمی سدیم بدو ورود بیمارانی که بستری </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ICU</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> داشتند نیز کمتر از افرادی است که در </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ICU</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> بستری نبوده&shy;اند و بین سدیم سرم و طول مدت بستری رابطه معناداری مشاهده نشد. همچنین، بین میزان نیاز به بستری در </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ICU</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> و سطح سرمی سدیم رابطه معناداری وجود دارد و در بیمارانی که هایپوناترمی دارند، بستری در </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ICU</span></span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> شایع‌تر است. افزون بر آن، بین سن بیماران، نتیجه درمان، اختلال عملکرد بطن راست و بستری شدن در </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ICU</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> رابطه معناداری وجود ندارد. بین سن بیماران، وضعیت اختلال عملکرد بطن راست و سطح سرمی سدیم و نتیجه درمان نیز رابطه معناداری مشاهده نشد.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#1f4e79">نتیجه‌گیری:</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> هایپوناترمی بدو پذیرش، پیش‌آگهی بدی را برای بیمار تخمین می‌زند و ریسک فاکتوری برای بستری شدن در </span></span></span></span><span dir="LTR" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d">ICU</span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"> در مبتلایان آمبولی ریه است. درنتیجه، این موضوع نیازمند دقت نظر و مطالعه بیشتر است.</span></span></span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#0d0d0d"></span></span></span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Background:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">The aim of this study was to assess the relationship between serum sodium level on admission and the prognosis of patients with pulmonary embolism.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Materials and Methods:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">The current descriptive-analytical study is cross-sectional, and 101 patients with pulmonary embolism who were admitted and treated in Shohadaye Kargar Hospital in Yazd in 2010-2020 were studied.</span></span></span></span></span></span></span></div> <div style="text-align: justify;"><span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">The findings showed no difference between the mean serum sodium level at admission in patients with coronary disease, pulmonary disease, cancer and renal disease compared to other individuals. The mean serum sodium level on admission of patients who were hospitalized in the ICU was lower than the non-ICU admissions. No significant relationship was observed between serum sodium level and the length of hospitalization. There was a significant relationship between the need for ICU admission and serum sodium level, and ICU admission was more common in patients with hyponatremia. There was no significant relationship between ICU admission and the patients&#39; age, treatment outcomes, and right ventricular dysfunction. There was also no significant relationship between the patients&rsquo; age, right ventricular dysfunction and serum sodium levels and treatment outcomes. </span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#002060">Conclusion: </span></span></span></span></b><span style="font-size:9.0pt"><span style="line-height:115%"><span iransans="" style="font-family:"><span style="color:#404040">Hyponatraemia on admission predicts poor outcome and is an independent risk factor for ICU admission in patients with pulmonary embolism. As a result, this issue requires careful consideration and further study.</span></span></span></span></span></span></span></div> آمبولی ریه, ‌سطح سرمی سدیم, پروگنوز, بستری Pulmonary Embolism, Serum Sodium Level, Prognosis, Hospitalization 148 158 http://ismj.bpums.ac.ir/browse.php?a_code=A-10-1115-19&slc_lang=fa&sid=1 abolhassan Halvani ابوالحسن حلوانی 5700319475328460016330 5700319475328460016330 No Department of Internal Medicine, Yazd Medical Science Branch, Islamic Azad University, Yazd, Iran گروه بیماری‌های داخلی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران Sareh Rafatmagham ساره رفعت‌مقام R.sareh2012@gmail.com 5700319475328460016331 5700319475328460016331 Yes Department of Internal Medicine, Fasa University of Medical Sciense, Fasa, Iran گروه بیماری‌های داخلی، دانشکده پزشکی، دانشگاه علوم پزشکی فسا، فسا، ایران Somayeh Poorteymori سمیه پورتیموری 5700319475328460016332 5700319475328460016332 No Department of Medical Science Branch, Islamic Azad University, Yazd, Iran گروه پزشکی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد یزد، یزد، ایران