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晕厥的定义与分类。

Defining and classifying syncope.

作者信息

Thijs Roland D, Wieling Wouter, Kaufmann Horacio, van Dijk Gert

机构信息

Dept. of Neurology & Clinical Neurophysiology, Leiden University Medical Centre, P.O. Box 9600, 2300 RC Leiden, The Netherlands.

出版信息

Clin Auton Res. 2004 Oct;14 Suppl 1:4-8. doi: 10.1007/s10286-004-1002-4.

DOI:10.1007/s10286-004-1002-4
PMID:15480929
Abstract

There is no widely adopted definition or classification of syncope and related disorders. This lack of uniformity harms patient care, research, and medical education. In this article, syncope is defined as a form of transient loss of consciousness (TLOC) due to cerebral hypoperfusion. Differences between syncope and other causes of TLOC such as epilepsy, and disorders mimicking TLOC are described. A pathophysiological classification of syncope is proposed.

摘要

晕厥及相关病症尚无被广泛采用的定义或分类。这种缺乏一致性的情况对患者护理、研究和医学教育都造成了损害。在本文中,晕厥被定义为由于脑灌注不足导致的短暂意识丧失(TLOC)形式。文中描述了晕厥与其他导致TLOC的病因(如癫痫)以及酷似TLOC的病症之间的差异。本文还提出了晕厥的病理生理分类。

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Clin Auton Res. 2004 Oct;14 Suppl 1:4-8. doi: 10.1007/s10286-004-1002-4.
2
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Counter pressure maneuvers for syncope prevention: A semi-systematic review and meta-analysis.预防晕厥的对抗压力手法:一项半系统综述与荟萃分析。
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本文引用的文献

1
Cerebrovascular response to repetitive visual stimulation in interictal migraine with aura.发作间期伴先兆偏头痛患者对重复性视觉刺激的脑血管反应
Cephalalgia. 2004 Sep;24(9):700-6. doi: 10.1111/j.1468-2982.2004.00740.x.
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Incidence and prognosis of syncope.晕厥的发病率与预后
N Engl J Med. 2002 Sep 19;347(12):878-85. doi: 10.1056/NEJMoa012407.
3
A study of 178 consecutive vasovagal syncopal reactions from the perspective of safety.从安全性角度对178例连续性血管迷走性晕厥反应进行的一项研究。
人脑血流的调节:自身调节的生理学和临床意义。
Physiol Rev. 2021 Oct 1;101(4):1487-1559. doi: 10.1152/physrev.00022.2020. Epub 2021 Mar 26.
4
Transcranial Doppler in autonomic testing: standards and clinical applications.经颅多普勒在自主神经测试中的应用:标准与临床应用
Clin Auton Res. 2018 Apr;28(2):187-202. doi: 10.1007/s10286-017-0454-2. Epub 2017 Aug 18.
5
Syncope as a health risk for soldiers - influence of medical history and clinical findings on the sensitivity of head-up tilt table testing.晕厥对士兵的健康风险——病史和临床发现对直立倾斜试验敏感性的影响。
Mil Med Res. 2015 Dec 2;2:31. doi: 10.1186/s40779-015-0062-1. eCollection 2015.
6
Association between psychological complaints and recurrence of vasovagal syncope.心理抱怨与血管迷走性晕厥复发的关系。
Clin Auton Res. 2011 Dec;21(6):373-80. doi: 10.1007/s10286-011-0125-7. Epub 2011 May 6.
7
The psychophysiology of blood-injection-injury phobia: looking beyond the diphasic response paradigm.血液-注射-伤害恐惧症的心理生理学:超越双相反应范式。
Int J Psychophysiol. 2010 Oct;78(1):50-67. doi: 10.1016/j.ijpsycho.2010.05.007. Epub 2010 May 31.
8
Role of SNA in the pathophysiology of cardiovascular collapse during syncope: muscle vs. brain.交感神经活性在晕厥期间心血管虚脱病理生理学中的作用:肌肉与大脑。
J Physiol. 2009 Dec 1;587(Pt 23):5795-6. doi: 10.1113/jphysiol.2009.182667.
9
A guide to disorders causing transient loss of consciousness: focus on syncope.导致短暂意识丧失的疾病指南:聚焦于晕厥
Nat Rev Neurol. 2009 Aug;5(8):438-48. doi: 10.1038/nrneurol.2009.99. Epub 2009 Jul 14.
10
Transcranial Doppler for evaluation of cerebral autoregulation.经颅多普勒用于评估脑自动调节功能。
Clin Auton Res. 2009 Aug;19(4):197-211. doi: 10.1007/s10286-009-0011-8. Epub 2009 Apr 16.
Transfusion. 2001 Dec;41(12):1475-9. doi: 10.1046/j.1537-2995.2001.41121475.x.
4
Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology.癫痫发作症状学描述术语词汇表:国际抗癫痫联盟分类与术语特别工作组报告
Epilepsia. 2001 Sep;42(9):1212-8. doi: 10.1046/j.1528-1157.2001.22001.x.
5
Guidelines on management (diagnosis and treatment) of syncope.晕厥管理(诊断与治疗)指南
Eur Heart J. 2001 Aug;22(15):1256-306. doi: 10.1053/euhj.2001.2739.
6
Consensus statement on the definition of orthostatic hypotension, pure autonomic failure and multiple system atrophy.关于直立性低血压、单纯自主神经功能衰竭和多系统萎缩定义的共识声明。
Clin Auton Res. 1996 Apr;6(2):125-6. doi: 10.1007/BF02291236.
7
The economic burden of unrecognized vasodepressor syncope.未识别的血管减压性晕厥的经济负担。
Am J Med. 1993 Nov;95(5):473-9. doi: 10.1016/0002-9343(93)90329-n.
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Convulsive syncope in blood donors.献血者的惊厥性晕厥
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