空降兵患者22例晕厥临床分析

Clinical analysis of 22 cases of syncope in airborne soldiers

目的分析空降兵晕厥患者的原因,提出预防晕厥的方法。方法对空降兵某部队医院诊治的22例晕厥患者的临床资料进行回顾性分析,通过对常规化验,24 h动态心电图与脑电图、影像检查、立卧位血压及心率变化,分析其可能发生的诱因。结果在22例晕厥患者中,13例患者为首次发作晕厥,9例为多次发作;10例发生在久站或下蹲体位变化时,5例发生在剧烈运动或军事训练后,其余和不明显原因7例。结论空降兵晕厥患者多为青壮年,立位耐力不良可能是其主要原因,均有较好的预后。

Objective To analyze the causes of syncope among airborne patients and propose measures of prevention. Methods The clinical data of 22 patients with syncope diagnosed and treated in a military hospital was retrospectively analyzed. The results of routine tests, 24-hour ambulatory electrocardiograms and electroencephalograms, imaging examination, supine blood pressure and heart rate changes were studied for possible causes of the disease. Results Among the 22 patients with syncope, 13 were first-time victims of syncope and 9 suffered from multiple onsets. Ten cases occurred during longterm standing or squat position changes, 5 occurred after strenuous exercise or military training, and the rest had unclear causes. Conclusion Airborne soldiers with syncope are mostly young and middle-aged. Poor standing endurance may be the main reason, but most of the patients have a good prognosis.