晕厥主要分为以下几类(国外英文资料).docVIP

晕厥主要分为以下几类 Syncope is mainly divided into the following categories 1. A reflection of the nervous system mediated syncope: including vasovagal syncope, carotid sinus, cough, micturition, swallowing, and so on careful questioning has significant incentives, such as environment crowded stuffy, neck movement, micturition pain, cough, prolonged standing, such as physical or mental stimulation, etc., the vagus nerve function hyperfunction caused heart rate slow down or have lower blood pressure, at the same time attack pale, sweating, but with palpitations and so on. 2. Arrhythmia syncope: divided into tardy arrhythmia and quickness arrhythmia, the former such as severe sinus slow, sinus arrest, atrioventricular block, the latter such as ventricular tachycardia, atrial fibrillation after bypass prequel, heart palpitations patients more come first, followed by repeated syncope, even some patients can feel the heartbeat is fast or slow, short duration, syncope is often a sex. 3. Organic cardiovascular disease: aortic stenosis, hypertrophic obstructive cardiomyopathy, aortic dissection, pulmonary embolism, etc., physical examination of the two audible noise, and imaging for diagnosis is of great significance. 4. Syncope caused by cerebrovascular, nervous system and mental illness: cerebral hemorrhage, cerebral infarction, TIA syncope, epilepsy, etc all can appear, many organic encephalopathy by CT or MRI diagnosis. There may also be syncope, such as hysterical disease, but caution excepted for organic reasons. 5. Autonomic nerve dysfunction caused by syncope, divided into primary and secondary, such as orthostatic hypotension, upright core tachycardia syndrome, diabetic peripheral neuropathy, etc Other: low blood sugar, etc The diagnosis of syncope is difficult in many cases because of the various causes of syncope, and the symptoms occur frequently without a bystander, and the details of the episode are unknown. But if through careful interrogation and examination, also o