CAJ | 학술논문

目的：了解不同原因晕厥的临床特点、误诊原因、预防措施。方法对我院2008‐02—2013‐12收治的7例及近10 a 国内有关文献发表的不同原因引起晕厥的病例45例作回顾性分析。结果45例中首诊误诊29例（64.4％），经相关检查后确诊急性心肌梗死（AMI）14例，膀胱嗜铬细胞瘤3例，自发性脾破裂、原发性肝癌各2例，左房黏液瘤、Ⅲ度房室传导阻滞、主动脉夹层破裂、原发性肺癌、十二指肠球部溃疡并出血、Ⅱ度Ⅱ型房室传导阻滞、病态窦房结综合征、锁骨下动脉盗血综合血征各1例。结论晕厥的正确诊断，应认真采集病史，全面体格检查并完善相应检查，如心电图、超声心动图、脑 CT 和MRI 、胸部 CT 、腹部 B 超等，以期早诊断。
목적：료해불동원인훈궐적림상특점、오진원인、예방조시。방법대아원2008‐02—2013‐12수치적7례급근10 a 국내유관문헌발표적불동원인인기훈궐적병례45례작회고성분석。결과45례중수진오진29례（64.4％），경상관검사후학진급성심기경사（AMI）14례，방광기락세포류3례，자발성비파렬、원발성간암각2례，좌방점액류、Ⅲ도방실전도조체、주동맥협층파렬、원발성폐암、십이지장구부궤양병출혈、Ⅱ도Ⅱ형방실전도조체、병태두방결종합정、쇄골하동맥도혈종합혈정각1례。결론훈궐적정학진단，응인진채집병사，전면체격검사병완선상응검사，여심전도、초성심동도、뇌 CT 화MRI 、흉부 CT 、복부 B 초등，이기조진단。
Objective To understand the clinical characteristics ,misdiagnosis and preventive measures of different kinds of syncope. Methods The 45 cases of different kinds of syncope included 7 patients in our hospital from February 2008 to Decem‐ber 2013 and related domestic articles in the recent ten years were analyzed retrospectively.Results In the 45 cases ,misdiagno‐sis of first‐diagnosis was 29(64.4% ) ,14 acute myocardial infarction (AMI) ,3 pheochromocytoma of bladder ,2 spontaneous rupture of spleen and primary liver cancer ,1 left atrial myxoma ,third degree atrioventricular block ,aortic dissection ,primary lung cancer ,duoedenal ulcer with bleeding ,type Ⅱ degree Ⅱ atrioventricular block ,sick sinus syndrome ,subclavian artery steal syndrome were diagnosed by relevant inspection.Conclusion The right and early diagnosis of syncope was mainly based on his‐tory collection ,completed medical examination and improving relevant inspection ,such as electrocardiograms ,echocardio‐graphy ,cerebral CT and MRI ,chest CT ,abdominal ultrasonic‐B.