血管迷走性晕厥83例临床特点分析Analysis of the clinical features of 83 vasovagal syncope patients
马为,霍勇,童琳
摘要(Abstract):
目的总结分析血管迷走性晕厥的临床特点。方法统计分析出院诊断考虑为血管迷走性晕厥的83名住院患者的临床特点。结果83名患者中,63.9%的患者反复发作,73.5%的患者有发作诱因,80.7%的患者有晕厥前兆,77.1%的患者有意识丧失,其中53.1%的人有伴随症状、39.1%的人有晕厥后症状,54.2%的患者发作时间不大于2min。结论血管迷走性晕厥诊断过程中对病史等临床特点的分析非常重要,应该引起足够的重视。
关键词(KeyWords): 晕厥,血管迷走神经性;诊断
基金项目(Foundation):
作者(Author): 马为,霍勇,童琳
参考文献(References):
- [1]The Task Force on Syncope,European Society of Cardiology.Guide-lines on management(diagnosis and treatment)of syncope-update2004Europace,2004,6:467-537.
- [2]Soteriades ES,Evans JC,Larson MG,et al.Incidence and prognosis of syncope.NEngl J Med,2002,347:878-885.
- [3]Kapoor WN,Karpf M,Maher Y,et al.Syncope of unknown origin:the need for a more cost-effective approach to its diagnostic evalu-ation.JAMA,1982,247,2687-2691.
- [4]Mathias CJ,Deguchi K,Schatz I.Observations onrecurrent syncope and presyncope in641patients.Lancet,2001,357:348-353.
- [5]任自文,吴宁,陈孟扬,等.倾斜试验用于诊断血管迷走性晕厥的建议.中华心血管病杂志,1998,26:325-327.
- [6]Calkins H,Byrne M,el-Atassi R,et al.The economic burden of unrecognized vasodepressor syncope.AmJ Med,1993,95:473-479.
- [7]Calkins H,Shyr Y,Frumin H,et al.The value of the clinical histo-ryinthe differentiation of syncope due to ventricular tachycardia,at-rioventricular block,and neurocardiogenic syncope.Am J Med,1995,98:365-373.
- [8]Li H,Weitzel H,Easley A,et al.Potential Risk of Vasovagal Syn-cope for Motor Vehicle Driving.AmJ Cardiol,2000,85:184-186.
- [9]Enrique Asensio,Jorge Oseguera,Alvar Lo?a,et al.Clinical Find-ings as Predictors of Positivity of Head-Up Tilt Table Test in Neuro-cardiogenic Syncope.Archives Med Res,2003,34:287-291.