小儿心源性晕厥的诊断与治疗新进展  

New advances in the diagnosis and treatment of pediatric cardiogenic syncope

作　　者：袁越[1] 田芝瑜 Yuan Yue;Tian Zhiyu(Department of Cardiology,Beijing Children′s Hospital,Capital Medical University,National Children′s Medical Center,Beijing 100045,China)

机构地区：[1]国家儿童医学中心首都医科大学附属北京儿童医院心脏内科,100045

出　　处：《中国小儿急救医学》2023年第12期897-902,共6页Chinese Pediatric Emergency Medicine

摘　　要：儿童心源性晕厥临床上不罕见,因其猝死风险性高而被重点关注。儿童心源性晕厥分为器质性心脏病和心律失常两大类;在儿童晕厥的诊断过程中需高度重视心源性晕厥的临床特点和病因诊断,首先完成心源性晕厥的排查;动态心电图和心内电生理检查在心律失常的诊断中不可或缺;心脏超声和心脏核磁共振检查在结构性心脏病的诊断中起到重要作用;基因检测用于离子通道病和心肌病的明确诊断;心源性晕厥的治疗,针对具体疾病不同,采取不同的精准治疗措施。本文旨在提高临床医师快速、准确识别心源性晕厥的能力,以期改善此类患儿的预后。Cardiogenic syncope in children is common in clinic and is highly regarded because of its high risk of sudden death.The main causes of cardiogenic syncope in children are organic and arrhythmia.In the diagnosis of syncope in children,the clinical characteristics and the primary diagnosis of the etiology of cardiogenic syncope should be emphasized.Holter electrocardiogram and intracardiac electrophysiology are indispensable in arrhythmia syncope.Cardiac ultrasound and cardiac MRI in syncope with structural heart disease is importance.Genetic testing is highly recognized.Different causes of cardiogenic syncope should be treated in different ways.The aim of this review was to improve the ability of the clinician to identify cardiogenic syncope quickly and accurately,so as to improve the treatment of such children.

关 键 词：儿童 心源性晕厥 诊断 治疗 

分 类 号：R725.4[医药卫生—儿科]