《儿童晕厥诊断指南(2016年修订版)》解读

Interpretation of the Guidelines for Diagnosis of Syncope in Children(2016)

晕厥作为儿科临床常见病、多发病,具有发作迅速、短暂性、可逆性意识丧失的特点,也是儿科常见急症之一。反复发作性晕厥可影响患儿身心健康及生活质量,甚至有猝死风险。因此,及早对晕厥患儿做出诊断、鉴别诊断及风险评估和分析尤为重要。对《儿童晕厥诊断指南(2016年修订版)》进行进一步解读,可为临床儿科医师对晕厥的诊断和治疗提供帮助。

Syncope is a common and frequently occurring disease in pediatric clinics, and is also one of the common complaints in Department of Pediatric Emergency, which is characterized by rapid onset, temporary and reversible loss of consciousness. The recurrent syncope can affect not only the physical and psychological health but also the quality of life of the children and even lead to the risk of sudden death. Therefore, early diagnosis, differential diagnosis, risk as- sessment and analysis have become particularly important for the children with syncope. In order to improve the diagno- sis of syncope in children and provide a reference for clinical pediatricians in the diagnosis and treatment of syncope, the author makes a simple analysis and supplements conceptions of the definition, classification, differential diagnosis and the diagnostic value of head-up tilt test by reading the 2016 guidelines.