Long-term pulmonary complications in sulfur mustard victims of Sardasht, Iran

被引:23
作者
Pourfarzam, Shahryar [2 ]
Ghazanfari, Tooba [1 ,3 ]
Merasizadeh, Javad [4 ]
Ghanei, Mostafa [4 ]
Azimi, Ghasem [2 ]
Araghizadeh, Hassan
Foroutan, Abbas [5 ]
Shams, Jalaleddin [6 ]
Ghasemi, Hassan [7 ]
Yaraee, Roya [3 ]
Shariat-Panahi, Shamsa [8 ]
Soroush, Mohammad Reza [9 ]
Hassan, Zuhair Mohammad [10 ]
Moaiedmohseni, Sakine [13 ]
Nadoushan, Mohammad Reza Jalali [14 ]
Fallahi, Faramarz [11 ]
Mahdavi, Mohammad Reza Vaez [12 ]
Moin, Athar [15 ]
Ghazanfari, Zeinab [16 ]
Ghaderi, Sulayman [17 ]
Yarmohammadi, Mohammad Ebrahim [2 ]
Naghizadeh, Mohammad Mehdi [3 ]
Faghihzadeh, Soghrat [18 ]
机构
[1] Shahed Univ, Fac Med, Dept Immunol, Tehran, Iran
[2] Shahed Univ, Dept Internal Med, Tehran, Iran
[3] Shahed Univ, Immunoregulat Res Ctr, Tehran, Iran
[4] Baqiyatallah Univ Med Sci, Res Ctr Chem Injuries, Tehran, Iran
[5] Shahid Beheshti Univ Med Sci, Dept Physiol, Tehran, Iran
[6] Shahed Univ, Dept Hematol & Oncol, Tehran, Iran
[7] Shahed Univ, Dept Ophthalmol, Tehran, Iran
[8] Shahed Univ, Dept Rheumatol, Tehran, Iran
[9] JMERC, Tehran, Iran
[10] Tarbiat Modares Univ, Dept Immunol, Tehran, Iran
[11] Shahed Univ, Dept Cardiol, Tehran, Iran
[12] Shahed Univ, Dept Physiol, Tehran, Iran
[13] Shahed Univ, Med Res Ctr, Tehran, Iran
[14] Shahed Univ, Dept Pathol, Tehran, Iran
[15] Shahed Univ, Dept Dermatol, Tehran, Iran
[16] Ilam Univ Med Sci, Dept Hlth, Ilam, Iran
[17] Chem Victims Clin Sardasht, Sardasht, West Azarbaijan, Iran
[18] Tarbiat Modares Univ, Dept Biostat, Tehran, Iran
关键词
Sulfur mustard; respiratory complications; FEV1; pulmonary function test; Sardasht-Iran Cohort Study; EXPOSURE; LUNG;
D O I
10.1080/15569540802689220
中图分类号
R99 [毒物学(毒理学)];
学科分类号
100405 ;
摘要
Sulfur mustard (SM) has widely been used against the military and civilians during the Iraq-Iran war (1980-1988). It mostly affects the respiratory system. A large historical cohort study was designed to evaluate the pulmonary status of non-military victims in Sardasht, Iran, in comparison with a matched control group 20 years after a single massive exposure. The exposed group was divided into two subgroups of hospitalized and non-hospitalized based on the severity of the injuries indicated by hospitalization a few days following exposure. All participants' respiratory symptoms and signs were evaluated by internists. Dyspnea (n = 261; P = 93.2%) was the most common symptom. Chronic cough, cough severity, sputum, hemoptysis, dyspnea, pattern of dyspnea, severity of dyspnea (P < 0.001 for all), and chest pain (P = 0.003) were statistically significantly different between the two groups. Wheezing was the most common pulmonary finding (11.4%). There was also a statistically significant difference in the auscultation of wheezing (P = 0.045) and rhonchi (P = 0.018) between the hospitalized and control groups. Considering objective findings, pulmonary involvement was observed in 24.3% (n = 68, P = 0.007).
引用
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页码:8 / 13
页数:6
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