血管迷走性晕厥51例临床分析

Clinical features of 51 patients with vasovagal syncope

目的:探讨血管迷走性晕厥(VVS)的临床特征,提高对本病的认识。方法:回顾性分析51例经直立倾斜试验(HUTT)诊断为VVS的临床表现,比较VVS患者在性别、晕厥诱因和先兆症状等方面的差异。结果:在51例VVS中,女性高于男性1:0.82(P<0.05),发生诱因中以久站及体位改变较常见,先兆症状中以头晕、恶心、呕吐、出冷汗多见。结论:VVS的临床特征虽差异较大,诱因较多,但认识到VVS的发病机制及所表现的不同临床特征,将有助于临床诊治。

Objective：To discuss the clinical features of vasovagal syncope （ VVS ） and raise awareness of the disease. Methods ：A retrospective analysis of 51eases of head -up tilt table test （ HUTT ） VVS diagnosed by clinical manifestations, VVS patients was compared in gender, syncope inducement and premonitory symptoms and other differences. Results： In 51 patients with VVS, in females than in males of 1：0.82, （ P 〈 0.05 ） , incidence to stand for a long time and the postural changes are more common, premonitory symptoms of dizziness, nausea, vomiting, sweating. Conclusions： The clinical characteristics of VVS although the difference is bigger, cause more, but realize the pathogenesis of VVS and the performance of the different clinical features, will be helpful to clinical diagnosis and treatment.