急诊晕厥患者诊治中的临床决策

Clinical Decision-Making in Diagnosis and Treatment of Emergency Patients with Syncope

目的:探讨急诊晕厥患者的临床特点及诊治中的临床决策。方法:回顾我院2016年1月~2019年12月间收治的46例急诊晕厥患者进行诊治分析。结果:引起晕厥的病因主要有神经反射性晕厥16例、直立性低血压晕厥14例、心源性晕厥9例、癔症晕厥4例、原因不明晕厥3例;已明确诊断为心源性晕厥、原因不明晕厥,收入住院进一步诊疗,余病例在急诊观察室治疗后症状明显改善出院,门诊随访。结论:急诊科医师接诊急诊晕厥患者后及时评估,尽快识别高危患者,明确病因诊断,有针对性地作出治疗决策,对改善愈后及降低病死率具有重要的临床意义。

Objective:To explore the clinical characteristics of emergency syncope patients and the clinical decision-making in diagnosis and treatment.Methods:Review the diagnosis and treatment of 46 emergency patients with syncope admitted to our hospital between January 2016 and December 2019.Results:A condition that causes syncope because:16 cases of neuroreflex syncope,14 cases of orthostatic hypotension syncope,9 cases of cardiogenic syncope,4 cases of hysterical syncope and 3 cases of unexplained syncope.Patients who clearly diagnosed as cardiogenic syncope or unexplained syncope were admitted into hospital for further treatment,while the remaining cases were significantly improved after treatment in emergency observation room and discharged from hospital.Conclusion:It is of great clinical significance for emergency physicians to evaluate patients with syncope in time,identify high-risk patients as soon as possible,make clear etiological diagno sis,and make targeted treatment decisions.