96例晕厥患者的病因分析

摘要

Objective To study the diagnosis and treatment of syncope by analyzing its etiology.Methods Ninety-six syncope patients admitted to our hospital from 2014-01-01 to 2016-12-21were included in this study.The etiology of syncope was analyzed.Results Of the 96 syncope patients included in this study,50 (52.1 ％) were diagnosed with nerve-mediated reflex syncope,31(32.3％) with orthostatic hypotensive syncope,10 (10.4％) with cardiogenic syncope due to arrhythmia,coronary atherosclerotic cardiopathy or pulmonary embolism,5 (5.2％) with other diseases.Conclusion Nerve-mediated reflex,orthostatic hypotension and cardiogenic factors are the causes of syncope.Attention should thus be paid to syncope caused by nervous system diseases.Clarification of the risk factors for syncope helps to reduce its potential risk.%目的 对晕厥患者进行病因分析,寻找晕厥诊疗方向.方法 选择2014年1月1日～2016年12月21日以晕厥收入我院神经内科的患者96例,分析患者的病因构成.结果 所有患者中,神经介导的反射性晕厥50例,占52.1％,体位性低血压及直立不耐受综合征性晕厥31例,占32.3％,心源性晕厥如心律失常、冠状动脉粥样硬化性心脏病、肺栓塞等引起的10例,占10.4％.非晕厥5例,占5.2％.结论 晕厥的主要病因是神经介导的反射性晕厥,其次为体位性低血压晕厥、心源性晕厥;需重视神经系统疾病引起的晕厥病因的查找;对病因进行危险分层有助于降低潜在的风险.