儿童直立倾斜试验的临床意义分析-儿科学专业论文.docxVIP

目 录 中文摘要·········································································································1 英文摘要·········································································································5 英文缩写·········································································································11 研究论文 儿童直立倾斜试验的临床意义分析 前言·········································································································12 材料与方法·····························································································14 结果·········································································································17 附图·········································································································21 附表·········································································································22 讨论·········································································································28 结论·········································································································33 参考文献·································································································34 综述 儿童晕厥的诊疗现状及直立倾斜试验概述·······································36 致谢·················································································································48 个人简历·········································································································49 儿童直立倾斜试验的临床意义分析 摘 要 目的： 1 将 2007-08 至 2015-12 在河北医科大学第二附属医院儿科心血管专 业门诊拟诊为自主神经介导性晕厥及拟诊为慢性直立不耐受的以晕厥、头 晕、头痛、胸闷、长出气等为主诉就诊的患儿分为晕厥组和非晕厥组，对 患儿行直立试验或（和）直立倾斜试验（基础直立倾斜实验和舌下含化硝 酸甘油激发实验）以明确诊断，明确晕厥组和非晕厥组患儿疾病构成及疾 病比例。 2 比较晕厥组和非晕厥组直立倾斜试验阳性率有无差异。 3 比较基础直立倾斜试验和舌下含化硝酸甘油激发试验的阳性率有 无差异。 4 归纳总结直立试验阳性率以及阳性结果患儿的疾病构成，比较晕厥 组和非晕厥组直立试验阳性率有无差异。 5 分别统计晕厥组和非晕厥组临床特征对直立倾斜试验结果的影响。 方法：本次研究采用回顾性研究方法。所有患儿均经过详细询问病史， 全面查体，并完善相关辅助检查如头颅MR或头颅CT、脑电图或动态脑电 图、心脏超声、心电图、动态心电图、血生化等检查，分为两组:晕厥组 和非晕厥组。晕厥组患儿以发作性晕厥为主诉，并经过儿童晕厥诊断指南 中