晕厥132例临床分析

Clinical analysis of 132 patients with syncope

目的总结晕厥患者的发病特点,拓展诊断思路,帮助临床医生对晕厥患者及早作出正确的诊断。方法对我院2001年以来因发生晕厥而住院的132例患者的临床资料进行回顾性总结分析。结果 132例晕厥患者中,神经介导性晕厥占41%;心源性晕厥占33%,其中心律失常占20%,器质性心肺疾病占13%;脑血管疾病占11%,其他原因的晕厥占7%,不明原因的晕厥占8%.死亡患者4例,死于心源性晕厥2例,蛛网膜下腔出血1例,肺栓塞1例。结论及时准确地明确晕厥的发病原因并采取合理的应对措施及治疗手段,可以挽救患者的生命,降低病死率,改善患者预后。

Objective To expand the ideas of diagnosis to help clinicians to make the correct diagnosis in time,summarizing the clinical characteristics in patients with syncope.Methods 132 patients with syncope were collected in our hospital since 2001 and summarized the relevant clinical data.Results The main reasons included neurally-mediated syncope（41%）,primary arrhythmia（20%）,organic heart and lung disease（13%）,cerebrovascular disease（11%）,other reasons（7%）,unexplained（8%）.4 patients died,2 cases died of cardiogenic syncope,1 case was subarachnoid hemorrhage,1 cases was pulmonary embolism.Conclusion Timely determined etiology with syncope was very important to take reasonable treatments,even to save the lives of patients,to reduce mortality and improve prognosis.