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晕厥是指各种原因导致的一过性广泛脑灌注不足引起的突然、短暂的意识丧失,继而又完全恢复的一组临床表现。主要有神经介导性晕厥、心源性晕厥及体位性低血压晕厥等三大类[1]。头颈部肿瘤可能是晕厥的一个重要原因,在全世界屡有报道[2-3]。鼻咽癌是我国高发的恶性肿瘤之一,其分布有明显的地区差异性,以我国广东、广西、湖南、福建及江西多发。目前,全世界有数十例鼻咽癌合晕厥的病例报道[4-19],但总体来看,鼻咽癌合并晕厥并不常见,病因并不清楚,临床特点,诊断以及治疗等方面也不确定。本文通过详细检索国内外中英文数据库,查找鼻咽癌合并晕厥的相关文献,并结合我们已经发现的1例患者,评价鼻咽癌合并晕厥的临床特点、病因、诊断及治疗等问题。
Syncope refers to a variety of causes caused by a transient extensive cerebral perfusion caused by sudden, transient loss of consciousness, and then completely restored a group of clinical manifestations. Mainly neurogenic syncope, cardiac syncope and orthostatic hypotension syncope three categories [1]. Head and neck cancer may be an important cause of syncope in the world has repeatedly been reported [2-3]. Nasopharyngeal carcinoma is one of the most malignant tumors in our country. Its distribution has obvious regional differences. It is frequently seen in Guangdong, Guangxi, Hunan, Fujian and Jiangxi provinces. Currently, there are dozens of cases of nasopharyngeal syncope in the world [4-19], but on the whole, syncope is not common in nasopharyngeal carcinoma, the etiology is not clear, clinical features, diagnosis and treatment, etc. uncertain. In this paper, we searched the Chinese and English databases at home and abroad to find out the related literature of nasopharyngeal carcinoma complicated with syncope, combined with one patient we have found, to evaluate the clinical features, etiology, diagnosis and treatment of nasopharyngeal carcinoma complicated with syncope.