高校81例晕厥患者的病因分析及院前处理

Etiological Analysis and Prehospital Treatment of 81 Patients with Syncope in a University

目的:分析高校81例晕厥患者的常见病因及院前处理。方法:选取某高校门诊部于2011年1月至2016年4月就诊的81例晕厥患者,回顾性分析其年龄分布、病因及诱发因素、晕厥先兆症状、院前急救处理等情况。结果:神经介导的反射性晕厥是大学生晕厥的最常见类型。诱发反射性晕厥的多种因素中,情绪因素最为常见。42例(51.8%)患者有先兆晕厥症状,其中恶心、头晕和全身出汗为最常见的3个先兆症状。结论:了解大学生晕厥患者的发病诱因、先兆症状有助于临床尽早明确诊断,且高校医务人员系统的宣教能有效预防晕厥不良并发症的发生,如跌倒伤害事件等。

Objective To analyze the pathogeny and prehospital treatment of 81 patients with syncope in a university. Methods Total 81 patients with syncope were enrolled in this study from January 2011 to April 2016. The clinical data of age distribution,disease causes,causative factor,precursory symptom and prehospital treatment were retrospectively analyzed.Results Neurally-mediated reflex syncope was the most common in all the patients. Emotion was the most common factor that led to occurence of reflex syncope. Premonitory symptoms were observed in 42 cases（ 51.8%）. Among them,nausea,dizzy and panidrosis were the most common symptom. Conclusion Understanding the triggers and premonitory symptoms of undergraduate students with syncope may be helpful to early diagnosis,in additional,healthy publicity by the medical staff of the university could reduce the occurence of the accidental injures by syncope.