老年性晕厥的病因及预后影响因素分析  

Clinical Analysis of Etiology and Prognostic Determinants of Syncope in Elderly

作　　者：孟宜良[1] 彭俊[2] 来毅[3] 金杨[1] 潘旭初[1] 宣海仙[1] 

机构地区：[1]浙江省杭州萧山区第一人民医院神经内科,311201 [2]浙江省杭州萧山区第一人民医院心内科,311201 [3]浙江省杭州萧山区第一人民医院急诊科,311201

出　　处：《中国全科医学》2010年第8期899-900,共2页Chinese General Practice

摘　　要：目的分析老年人晕厥的病因及影响其预后的因素。方法整理、归纳306例老年性晕厥患者的临床资料。结果老年性晕厥中心源性晕厥占44.1%,反射性晕厥占42.8%,脑源性晕厥占11.1%;晕厥反复发生者40例;晕厥发作时发生躯体意外伤害者58例;晕厥后1年内死亡36例,Logistic回归分析结果:年龄>70岁,高血压病史、糖尿病病史、心脏病、无前驱症状及心电图异常与死亡关系密切。结论晕厥在老年人群中常见,以心源性晕厥居多,病死率高。年龄大于70岁、心脏病、心电图异常及晕厥时无前驱症状是晕厥预后不良的危险因素。Objective To investigate the clinical features of syncope in the elderly.Methods The clinical data of 306 elderly syncope cases were analyzed to sum up its causes and the influencing factors of prognosis.Results Of elderly syncopes,cardiogenic accounted for 44.1%,reflective for 11.1%.Syncope recurred in 58 patients.Syncope-related body traumatic injury occurred in 58 during attacks.36 patients died within 1 year after syncope.Conclusion Syncope is a common clinical event in elderly,most being cardiogenic,with a high mortality rate.Older than 70 years,heart diseases,ECG abnormalities and syncope without prezone symptoms are the risk factors of poor prognoses.

关 键 词：晕厥 老年人 病因 预后 

分 类 号：R364.14[医药卫生—病理学]