现报道1例咳嗽致基底动脉血流方向反转,且造成一过性晕厥病例。 1 临床资料 患者男性,39岁,反复发作剧烈咳嗽,伴短暂意识丧失2年。1997年4月饮酒时连声咳嗽,突然意识丧失,须臾即醒,安然无恙,未在意。1998年11月,又因剧烈咳嗽出现类似现象。1999年6月坐位时剧烈咳嗽几声,而后意识突然丧失,头伏于案上,四肢挺直。持续几秒醒转如常。此后每于剧烈咳嗽时有类似发作,近期发生8次。发作前无任何先兆,发作时无抽搐、尿便失禁及口吐涎沫。发作前后无头痛、头晕、呕吐、心悸等。患者自行试验,作剧烈咳嗽时也可诱 Is reported in 1 case of cough caused by reversal of basilar artery flow, and caused a transient syncope cases. 1 Clinical data Male patients, aged 39, recurrent severe cough, with a brief loss of consciousness for 2 years. In April 1997, when he was drinking, he coughed and suddenly lost consciousness. He was awakened and safe and did not mind. In November 1998, a similar phenomenon occurred due to severe coughing. When sitting in June 1999, I coughed a few times, and then my consciousness suddenly lost. My head fell on the case and my limbs were straightened. Continued seconds wake up as usual. Since then there is a similar episode of severe cough, the recent occurrence of 8 times. Before the attack without any premonition, seizures no convulsions, urinary incontinence and vomiting saliva foam. Before and after the attack without headache, dizziness, vomiting, palpitations and so on. Patients self-test, can be induced when violent cough