咳嗽性晕厥的危险因素及治疗策略的探讨(附6例报道)  

To investigate risk factors of cough syncope and treatmen (6-case reported)

作　　者：侯会玲[1] 聂秀红[1] 

机构地区：[1]首都医科大学附属宣武医院呼吸科,北京100053

出　　处：《临床肺科杂志》2009年第2期175-176,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨咳嗽性晕厥的危险因素及治疗策略。方法对6例咳嗽性晕厥的患者分别进行心脏超声、心电图、头颅CT、脑电图、睡眠呼吸监测、肺功能、血气分析等检查。结果6例均为男性,平均年龄68.2岁,超重体型,均有长期吸烟史。3例测出OSAS,2例阻塞型通气功能障碍,2例支气管激发试验阳性,1例心肌缺血(心电图、心脏超声)。头颅CT、脑电图、血气分析全部正常。诊断:2例为咳嗽变异性哮喘,2例慢性支气管炎急性发作,2例急性气管炎。通过治疗原发病、镇咳,晕厥症状消失。结论老年男性、肥胖、吸烟、OSAS、肺部疾患是引发咳嗽性晕厥的危险因素,治疗原发病是控制该症状的关键。Objective To investigate risk factors of cough syncope and treatment. Methods 6 patients with cough syncope were examined on heart of hyperacoustic, ECG, head CT, EECG, sleeping monitoring of respiration, pulmonary function, blood gas analysis. Results The patients were male and the mean age was 68.2 y. Their body type was overweight. They had a long history of smoking. There were OSAS in three cases, obstruction ventilation funtional impairment in two cases, bronchial provocation test positive in two cases, and heart muscle ischemia in one case. The head CT, EECG and blood gas analysis showed no change. There were cough variability of asthma in 2 cases, acute episode of chronic bronchitis in 2 cases, and acute tracheitis in 2 cases. Symptom of cough syncope could be controlled with the treatment of protopathy and the cough relieved. Conclusion Risk factors of cough syncope are old age, male, fatness, smoking, OSAS, and pulmonary diseases. The protopathy treated is very important.

关 键 词：咳嗽 晕厥 肥胖 OSAS 肺疾患 

分 类 号：R56[医药卫生—呼吸系统]