摘要
排除其他病因引起的晕厥,多数血管迷走性晕厥患者可根据其典型的临床表现获得诊断,部分患者还需进行诊断试验、如直立倾斜试验等方能得出诊断。除了安慰或有关的健康教育,大多数血管迷走性晕厥患者并不需特别治疗;但对于晕厥发作次数多、造成患者摔伤或心理压力增加的患者,还需要采取对抗压力动作、倾斜训练、药物治疗或起搏器安装等措施。现从循证医学的角度对这些诊断和治疗的方法进行了评价。
Vasovagal type is the most frequent syncope with a fairly good prognosis. Most can be diagnosed through typical clinical manifestation and the exclusion of other causes of syncope. However, diagnostic tests such as head-up tilt test and implantable loop recorder are needed in the diagnosis of a few patients. Though the majority of vasovagal patients need only reassurance and education, others especially those with frequent episodes or profound psychological distress, may benefit from further therapies such as counter pressure action, tilt training, medication and pacemaker. This review discusses current methods of diagnosis and treatment from the aspect of evidence-based medicine.
出处
《心血管病学进展》
CAS
2009年第2期222-226,共5页
Advances in Cardiovascular Diseases
关键词
血管迷走性晕厥
诊断
治疗
vasovagal syncope
diagnosis
treatment
