门诊手术患者围术期发生晕厥原因分析及防护

Analysis of the reasons of syncope of the patients in perioperative period of outpatient operation and prevention

目的:探讨门诊手术患者围术期发生晕厥的原因及防护措施。方法:对5 600例门诊手术患者围术期发生晕厥的情况进行回顾性分析,并总结防护措施。结果:门诊手术患者晕厥发生率为1.2%(69/5 600),其中单纯性晕厥占46.4%(32/69),体位性晕厥占33.3%(23/69),低血糖性晕厥占14.5%(10/69),精神性晕厥占4.4%(3/69),心源性晕厥占1.4%(1/69)。在实施及时、准确的防护措施后,患者均完全恢复。结论:晕厥是由各种诱因导致的大脑暂时性血液循环障碍,造成一过性的意识不清或丧失,在门诊手术患者中较常见,而迅速、准确地判断病因,及时、恰当地鉴别诊断,规范、果断地实施处置措施,是救护的三个基本点。

Objective： To discuss the reasons of syncope of the patients in perioperative period of outpatient operation and preventive measures. Methods ： The reasons of syncope of 5 600 patients in perioperative period of outpatient operation were retrospectively analyzed, and preventive measures were summed up. Results： The incidence of syncope was 1.2% （ 69/5 600 ）, ple syncope accounted for 46.4% （ 32/69 ）, postural syncope accounted for 33.3% （ 23/69 ）, syncope due to low blood sugar accounted for 14.5% （ 10/691, mental syncope accounted to 4.4% （ 3/69）, cardiogenic syncope accounted for 1.4% （ 1/ 69 ）. The patients were fully recovered through timely and accurate treatment. Conclusion： Syncope is one of temporary brain blood circulation disorders caused by a variety of inducements, which resulted in transient unconsciousness or loss of consciousness and it is commonly seen in outpatient operation. Rapid and accurate determination of the causes, timely and appropriate differential diagnosis and standard implementation of decisive measures are the three basic points in handling syncope in outpatient operation.