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血管迷走性晕厥和自主神经功能障碍的诊断与管理

Diagnosis and management of vasovagal syncope and dysautonomia.

作者信息

Sealey Bonnie, Lui Karen

机构信息

Southwest Florida Heart Group, Ft Myers, FL 33919, USA.

出版信息

AACN Clin Issues. 2004 Jul-Sep;15(3):462-77. doi: 10.1097/00044067-200407000-00012.

Abstract

Vasovagal syncope is a condition better known as neurocardiogenic or neurally mediated syncope. Dysautonomic syncope is the irregular neuroautonomic response during the body's attempt to maintain homeostasis. Both types of syncope are associated with orthostatic hypotension and are nonlethal. The underlying pathophysiology manifests the vast symptoms suffered by the individual. Research continues to develop new markers to improve diagnostic testing and therapies for treatment. Advanced practice nurses now have a new tool with Head-Up Tilt Training Programs to offer the patients who suffer from frequent and refractory neurocardiogenic and dysautonomic syncope.

摘要

血管迷走性晕厥是一种更为人所知的神经心源性或神经介导性晕厥。自主神经功能异常性晕厥是身体试图维持内环境稳定时出现的不规则神经自主反应。这两种类型的晕厥都与直立性低血压有关,且无致命性。潜在的病理生理学表现为个体所遭受的各种症状。研究持续开发新的标志物,以改进诊断测试和治疗方法。高级执业护士现在有了一种新工具,即头高位倾斜训练计划,可用于为频繁发作且难治性神经心源性和自主神经功能异常性晕厥患者提供帮助。

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