儿童血管迷走性晕厥的诊治进展

Progress on diagnosis and treatment of vasovagal syncope in children

血管迷走性晕厥(vasovagal syncope,VVS)是儿童不明原因晕厥中最常见的类型,是一种功能性心血管疾病,很少威胁生命,但反复晕厥发作严重影响儿童的学习以及日常生活,部分患儿甚至出现躯体意外伤害,逐渐成为国内外学者研究的热点。根据患儿在直立倾斜试验中的阳性反应类型VVS可进一步分为血管抑制型、心脏抑制型以及混合型,其中以混合型和血管抑制型为主。该文主要针对近年来国内外关于儿童VVS诊断和治疗进展作一综述,以期能够为临床诊治提供参考。

Vasovagal syncope(VVS),the most common type of syncope in children,is a functional cardiovascular disease that rarely threatens life,but repeated syncope episodes seriously affect children′s learning and daily life,and some children even appear accidental physical injury,which has gradually become a hot topic of research at home and abroad.According to the positive reaction type of VVS in the head-up tilt test,the children can be further divided into vascular inhibitory type,cardiac inhibitory type and mixed type,in which the mixed type and vascular inhibitory type are main.This article mainly reviews the progress of diagnosis and treatment of VVS in children in recent years,in order to provide reference for clinical diagnosis and treatment.