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目的 :探讨 2 4小时脑电 /心电同步监测对癫性晕厥和心律失常性晕厥的诊断和鉴别诊断价值。方法 :对 72例临床怀疑癫性晕厥和心律失常性晕厥患者进行 2 4小时动态脑电图 (AEEG) /心电图 (ECG)同步监测。结果 :①癫性晕厥 42例中 ,EEG总异常率 83 91%。样放电出现率71 2 4% ;心电图显著异常率 19% ;②心律失常性晕厥 2 1例中 ,EEG总异常率 2 4% ,样放电出现率 5 % ,心电图显著异常 91% ;③可疑癫性晕厥 4例中 ,AEEG样放电 1例 ;④可疑心律失常性晕厥 3例 ,ECG均为非显著异常 ;⑤晕厥原因不明 (癫与心律失常两种疾病并存 ) 2例 ,均检出样放电及显著心律失常。结论 :2 4小时EEG/ECG同步监测对癫性晕厥和心律失常性晕厥有重要的诊断和鉴别诊断的价值。
Objective: To investigate the value of 24-hour EEG / ECG monitoring in the diagnosis and differential diagnosis of epileptic syncope and arrhythmia syncope. Methods: Twenty-four patients with suspected epileptic syncope and arrhythmia were simultaneously monitored by 24-hour dynamic electroencephalogram (AEEG) / electrocardiogram (ECG). Results: ① In 42 cases of epileptic syncope, the total abnormal rate of EEG was 83 91%. The incidence of abnormal discharge was 71 2 4%; the significant abnormality rate of electrocardiogram was 19%; ② In 21 cases of arrhythmic syncope, the total abnormal rate of EEG was 24%, the incidence of abnormal discharge was 5% and the abnormal electrocardiogram was 91%; 4 cases of suspected epileptic syncope, AEEG-like discharge in 1 case; ④ suspicious arrhythmic syncope in 3 cases, ECG were non-significant abnormalities; ⑤ unexplained syncope (epilepsy and arrhythmia co-exist two diseases) in 2 cases, All samples were detected discharge and significant arrhythmia. Conclusion: 24-hour EEG / ECG simultaneous monitoring of epileptic syncope and arrhythmic syncope have important diagnostic and differential diagnosis value.