儿童心源性晕厥的评估和诊断  

Assessment and diagnosis of cardiac syncope in children

作　　者：卢慧玲[1] 何婷 

机构地区：[1]华中科技大学同济医学院附属同济医院儿科,武汉430030

出　　处：《中华实用儿科临床杂志》2018年第1期9-12,共4页Chinese Journal of Applied Clinical Pediatrics

摘　　要：心源性晕厥是由于心脏器质性病变或节律紊乱等为主要因素引起的晕厥，是儿童晕厥第2位的病因，相对于其他原因导致的晕厥，心源性晕厥具有猝死的风险，病死率高，预后相对较差。通过病史、体格检查及常规心电图做出初步评估，其中常规心电图是最基本的检查，对提示心源性晕厥的患儿进行长程心电图、心脏彩超、电生理等专科检查。在临床工作中应进一步提高对晕厥的认识，早期识别心源性晕厥，完善风险评估，明确病因诊断。早期诊断及规范化管理将改善心源性晕厥患儿的生活质量，降低其猝死风险。Cardiac syncope is due to cardiac disorders or rhythm disorders as the main cause of syncope, etiology is accounted for the second in the cause of syncope in children. Compared with other causes of syncope, cardiac syncope is the risk for sudden death with high mortality and the prognosis is relatively poor. A preliminary assessment was made through medical history, physical examination and routine electrocardiogram exam. Routine electrocardiogram is the most basic examination for these patients. Long term electrocardiogram, color Doppler ultrasound and electrophysiologic examination are recommended for the patients with cardiac syncope. In clinical work, the doctor should further improve the understanding of syncope in order to early identify cardiac syncope and comprehensive assess the risk of it, then effort to identify the cause of the cardiac syncope. Early diagnosis and standardized management will improve the quality of life and reduce the risk of sudden death in children with cardiac syncope.

关 键 词：心源性晕厥 评估 诊断 儿童 

分 类 号：R725.4[医药卫生—儿科]