心源性晕厥的临床特点及研究

Clinical Features and Research into Cardiogenic Syncope

目的探讨心源性疾病与晕厥的相关性。方法回顾分析26例心源性晕厥的临床资料。结果本组引起心源性晕厥的基本病因可分为以下几种类型:①快速性心律失常7例(26.9%);②缓慢性心律失常12例(46.2%);③急性心肌梗塞2例(7.7%);④QT延长综合症1例(3.8%);⑤心肌病1例(3.8%);⑥左房粘液瘤1例(3.8%);⑦风湿性心脏病(二尖瓣狭窄)2例(7.7%)。结论心源性晕厥是由不同病因,不同心电学特征共同致一过性脑供血不足的综合症,它被认为心源性死亡的先兆,故临床应特别关注和警觉。

Objective Probe the relationship between cardiogenic disease and syncope. Methods Recall and tulalysis Clinical data of 26 cases of cardiogenic syncope. Results Several calegories of basic causes of cardiogenic syncope.①7 cases of quick〈arrhythmla（26.9%）; ②12 cases of slow arrhythmia（46,2%）; ③2 cases of acute myocardial infarction（7.7%）;④1 case of QT Lengthy syndrome（3.8%）; ⑤1 case of cardiomyopathy（3.8%）; ⑥1 case of cardiac myxoma（3.8%）; ⑦2 cases of rheumatic valvular disease mitral stenosis（7.2%）. Conclusions Cardiogenic syncope is a syndrome caused by different causes, they were of different electrocardiographic characteristics and lack of brain blood supply, if is thought to be a sign of cardiogenic death so that itmustbe clinically fixed upon and emphasized.