晕厥病的鉴别诊疗和治疗原则.pptVIP

晕厥病的鉴别诊疗和治疗原则;第一部分:晕厥通常概念;什么是晕厥? ;临床症状四大特点;Framingham研究: 男性发生率为3％, 女性发生率为3.5％, 75岁以上老年人中发生率为6％。 欧洲大约有 150万严重晕厥患者 美国大约有1000万晕厥患者, 每年有50万新发病例;晕厥: 一个严重临床问题;晕厥: 一个严重临床问题;;65 years n=607;正常窦性心律 58%;第二部分: 晕厥诊疗;初步诊疗 病史、体检、ECG 、BP 试验室检验 Holter、Loop、HUT 危险性评价;诊疗及判别诊疗;诊疗“金标准” 在自发症状时统计到症状相关 ECG 可做出初步诊疗;多种检验方法诊疗率;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;心脏电生理检验;有意义指标;脑电图;不明原因晕厥;; 3 、危险程度评定;神经源性—预后好但反复发作/就诊 反复发作性—并不代表预后差 老年人关键看是否合并心脏病;第三部分 晕厥诊疗;晕厥诊疗;窦房结功效障碍(98-02);双束支和三束支阻滞（慢性）--适应证(98-02);ICD-- 适应证(98-02);ICD--适应证(98-02);ICD-- 适应证(98-02);第四部分: 特殊类型晕厥;神经介导性晕厥 (NMS);;颈动脉窦按摩(CSM);;血管迷走性晕厥;神经介导性晕厥特点;心律失常 % 病窦综合症 25 病窦综合症 + AV 阻滞 10 AV 阻滞 42 房颤 + AV阻滞 13 颈动脉窦和血管迷走综合症 10;颈动脉窦过敏综合征及神经心源性晕厥-- 适应证(2002);The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;The First Clinical College of Harbin Medical University;小 结;