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目的探讨心源性晕厥的临床特点、治疗方法及预后。方法回顾性分析54例心源性晕厥患者的临床资料。结果本组心律失常性晕厥47例(87.0%),包括病态窦房结综合征15例,房室传导阻滞9例,心房颤动伴长间歇5例,室上性心动过速5例,室性心动过速或心室颤动11例,先天性长QT综合征1例,洋地黄中毒1例;器质性心脏病7例(13.0%),包括冠心病心肌缺血4例,主动脉瓣狭窄1例,梗阻性肥厚型心肌病2例。经治疗44例(81.5%)未再发生晕厥。结论心源性晕厥病情严重,病死率高,及时合理治疗可降低病死率,提高患者生活质量。
Objective To investigate the clinical features, treatment and prognosis of cardiogenic syncope. Methods The clinical data of 54 patients with cardiac syncope were retrospectively analyzed. Results 47 cases (87.0%) had arrhythmia syncope, including 15 cases of sick sinus syndrome, 9 cases of atrioventricular block, 5 cases of atrial fibrillation with long interval, 5 cases of supraventricular tachycardia, Tachycardia or ventricular fibrillation in 11 cases, congenital long QT syndrome in 1 case, digitalis poisoning in 1 case; structural heart disease in 7 cases (13.0%), including coronary heart disease in 4 cases of myocardial ischemia, aortic valve stenosis 1 case, obstructive hypertrophic cardiomyopathy in 2 cases. After the treatment of 44 cases (81.5%) no further syncope. Conclusions Cardiac syncope is in severe condition with high case fatality rate. The timely and reasonable treatment can reduce the mortality and improve the quality of life of patients.