国际儿科学杂志
國際兒科學雜誌
국제인과학잡지
INTERNATIONAL JOURNAL OF PEDIATRICS
2014年
2期
195-197,201
,共4页
杨锦艳%王成%田宏%王宏伟%廖莹%陈丽%张凤文%王瑜丽%刘平
楊錦豔%王成%田宏%王宏偉%廖瑩%陳麗%張鳳文%王瑜麗%劉平
양금염%왕성%전굉%왕굉위%료형%진려%장봉문%왕유려%류평
一过性意识丧失%疾病谱%儿童
一過性意識喪失%疾病譜%兒童
일과성의식상실%질병보%인동
Transient loss of consciousness%Disease spectrum%Children
目的 通过多中心、大样本的临床研究,分析儿童一过性意识丧失(transient loss of consciousness,TLOC)的基础疾病谱.方法 研究对象为1999年8月至2013年4月在北京、湖南、湖北、上海四地儿科晕厥门诊就诊或住院的1203例TLOC患儿,其中男559例,女644例,年龄2～18岁,平均(11.5±3.2)岁,从病因学角度分析,得出儿童晕厥的基础疾病谱.结果 1203例TLOC患儿中,l 125例为晕厥患儿,占所有患儿的93.5％,78例为非晕厥患儿.在晕厥患儿中,血管迷走性晕厥(vasovagal syncope,VVS)最常见,共409例,占34.1％,其中VVS-血管抑制型(VVS-vasoinhibitory,VVS-Ⅵ)234例,是VVS最常见的血流动力学类型,其次为体位性心动过速综合征(postural orthostatic tachycardia syncope,rOTS),共346例(28.8％),直立性高血压(orthostatic hypertension,OHT)24例,占2.0％.结论 晕厥是引起儿童TLOC最常见的原因,而VVS是引起晕厥最常见的病因,VVS-血管抑制型是VVS最常见的血流动力学类型,OHT可以导致儿童晕厥.
目的 通過多中心、大樣本的臨床研究,分析兒童一過性意識喪失(transient loss of consciousness,TLOC)的基礎疾病譜.方法 研究對象為1999年8月至2013年4月在北京、湖南、湖北、上海四地兒科暈厥門診就診或住院的1203例TLOC患兒,其中男559例,女644例,年齡2～18歲,平均(11.5±3.2)歲,從病因學角度分析,得齣兒童暈厥的基礎疾病譜.結果 1203例TLOC患兒中,l 125例為暈厥患兒,佔所有患兒的93.5％,78例為非暈厥患兒.在暈厥患兒中,血管迷走性暈厥(vasovagal syncope,VVS)最常見,共409例,佔34.1％,其中VVS-血管抑製型(VVS-vasoinhibitory,VVS-Ⅵ)234例,是VVS最常見的血流動力學類型,其次為體位性心動過速綜閤徵(postural orthostatic tachycardia syncope,rOTS),共346例(28.8％),直立性高血壓(orthostatic hypertension,OHT)24例,佔2.0％.結論 暈厥是引起兒童TLOC最常見的原因,而VVS是引起暈厥最常見的病因,VVS-血管抑製型是VVS最常見的血流動力學類型,OHT可以導緻兒童暈厥.
목적 통과다중심、대양본적림상연구,분석인동일과성의식상실(transient loss of consciousness,TLOC)적기출질병보.방법 연구대상위1999년8월지2013년4월재북경、호남、호북、상해사지인과훈궐문진취진혹주원적1203례TLOC환인,기중남559례,녀644례,년령2～18세,평균(11.5±3.2)세,종병인학각도분석,득출인동훈궐적기출질병보.결과 1203례TLOC환인중,l 125례위훈궐환인,점소유환인적93.5％,78례위비훈궐환인.재훈궐환인중,혈관미주성훈궐(vasovagal syncope,VVS)최상견,공409례,점34.1％,기중VVS-혈관억제형(VVS-vasoinhibitory,VVS-Ⅵ)234례,시VVS최상견적혈류동역학류형,기차위체위성심동과속종합정(postural orthostatic tachycardia syncope,rOTS),공346례(28.8％),직립성고혈압(orthostatic hypertension,OHT)24례,점2.0％.결론 훈궐시인기인동TLOC최상견적원인,이VVS시인기훈궐최상견적병인,VVS-혈관억제형시VVS최상견적혈류동역학류형,OHT가이도치인동훈궐.
Objective To analyze the underlying disease spectrum of transient loss of consciousness (TLOC) in children through a multi-center and large sample chinical research.Methods The underlying disease spectrum of TLOC in 1203 children (559 male and 644 female children,aged 2-18 yrs,mean age 11.5 ±3.2 yrs) who came from Beijing,Hunan province,Hubei province and Shanghai of China was explored from August 1999 to April 2013.Results In 1 203 children with TLOC,1 125 (93.5％)were children with syncope,and 78 (6.5％) were non-syncope.In children with syncope,234 (19.5％)were of VVS-vasoinhibitory type (VVS-Ⅵ),346 (28.8％) POTS and 24 (2.0％)orthostatic hypertension (OHT).Conclusion Syncope was the most common disease of TLOC in children.And the most common hemodynamic pattern of syncope was VVS,followed by POTS.In three different hemodynamic pattems of VVS,the most common pattern was VVS vasoinhibitory one.In addition,OHT might also result in syncope.
