摘要
目的 分析 88例排尿性昏厥病人的临床特点。方法 1976～ 1999年临床诊治的 88例排尿性昏厥病人 ,年龄 11～ 76岁 ,其中男 5 9例 ,女 2 9例。分析发病时间与诱因 ,排尿与昏厥的关系 ,昏厥前征兆、临床症状和心电图乏氏试验。结果 76例 (86 3% )于睡眠后起床时发病。 6 0例 (6 8 2 % )晕厥发生于排尿终末时或结束后。 5 5例 (6 2 5 % )无任何先兆症状。发病时病人有意识丧失 ,面色苍白 ,心率减慢和血压下降等症状。 32例 (47 7% )心电图乏氏试验阳性。 6 4例 (72 7% )有复发病史。结论 根据病人排尿过程中突然发生短暂昏厥诊断排尿性昏厥。心电图乏氏试验可作为诊断的重要依据 。
Objective To study clinical characteristic of 88 patients with micturition syocope.Methods There were 88 patients diagnosed as micturition syocope in 1976～1999,in wich man was 59 cases,women was 29 cases.Onset of illness and evoke factor,relation between miction and syocope,portent symptome of syocope and valsalva's test of electrocardiogram were analyzed.Results 76 cases(66.3%) episoded in getting up after sleep.60 cases(68.2%) had syocope in end stage of miction or just after miction.55 cases(62.5%) had not any portent symptome.Patients falled ill with disturbance of consciousness,pale,bradycanlia and low blood pressure.32 cases(47.7%) had positive result in valsava's test of electrocardiogram.64 cases(72.7%) had history of relapse.Conclusion According to sudden temporary syocope during miction,patients,can be diagnosed as micturition syocope.Valsalva's test of electrocardiogram can be used as routine examination,due to it is an important evidence in diagnosis.
