[致命性肺血栓栓塞发作的时间风险]。

Giornale di clinica medica Pub Date : 1990-10-01
D Colantonio, R Casale, G Lorenzetti, P Pasqualetti
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引用次数: 0

摘要

对152例致死性肺血栓栓塞发作的昼夜节律和周期节律进行了研究。数据表明,肺血栓栓塞发作的发生率,以临床症状中发病的小时和日来评估,呈现出时间、昼夜和年循环分布。更大的发病率发生在早晨和冬季。用余弦法进行的节律学分析显示,致命性肺血栓栓塞发作的发生率具有显著的昼夜节律和周期节律。时间分布似乎不是偶然的,而是外源性节律(如止血系统中的节律)、内源性节律(如低温)和疾病之间相互关系的影响。这些结果表明,肺血栓栓塞是一种具有高“时间风险”的疾病,即它的时间复发是一种可预期的疾病。
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[Chrono-risks in the episodes of fatal pulmonary thromboembolism].

A study on circadian and circannual rhythmicity in the episodes of fatal pulmonary thromboembolism has been conducted in 152 cases. The data demonstrate that the incidence in the episodes of pulmonary thromboembolism, evaluated as hour and day of onset in the clinical symptoms, presents a temporal, both circadian, and circannual distribution. The greater incidence occurs in the morning hours and in the winter season. The rhythmometric analysis by "cosinor" method showed a significant circadian and circannual rhythms in incidence of episodes of fatal pulmonary thromboembolism. The temporal distribution does not seem to be casual, but the effect of interrelationship between exogenous rhythms, such as those in the haemostatic system, endogenous rhythms, such as the cold temperature, and disease. These results demonstrate that the pulmonary thromboembolism is a disease with an high "chrono-risk", i.e. it is an expectable disease in its temporal recurrence.

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