Thijs R D, Granneman E, Wieling W, van Dijk J G
Leids Universitair Medisch Centrum, afd. Neurologie en Klinische Neurofysiologie, Postbus 9600, 2300 RC, Leiden.
Ned Tijdschr Geneeskd. 2005 Jul 16;149(29):1625-30.
To investigate the terminology for transient loss of consciousness in use in a Dutch emergency ward and to compare it with European definitions.
Descriptive.
The records of all consecutive patients seen during an eight-week period in the Emergency Clinic of Leiden University Medical Centre, the Netherlands, were reviewed. Patients were enrolled in one of the following Dutch terms was encountered, expressing either a specific form or a general description of non-traumatic transient loss of consciousness (TLOC): 'collaps' (collapse), 'syncope' (syncope), 'flauwvallen' (fainting), 'wegraking' (TLOC) and 'insult' (seizure). The use of these terms was compared with the definitions of the European Society of Cardiology (ESC).
The prevalence of a non-traumatic TLOC diagnosis in the Emergency Clinic was 2.9% (123/4300). 'Collaps' was the most frequently used term (53%), followed by 'insult' (31%), 'wegraking' (11%), 'flauwvallen' (3%) and 'syncope' (2%). The term 'collaps' was found to have been used in the context of the ESC category 'syncope' (n=47), TLOC (n=5), 'no TLOC' (n=9) or for situations that could not be classified (n=4). The term 'insult' was used exclusively in the context of epilepsy and the term 'syncope' exclusively in the context of the ESC category 'syncope'. The term 'wegraking' proved to have been used in the context of the ESC category 'TLOC' (n=11), 'epilepsy' (n=1) or for situations that could not be classified (n=1). 'Flauwvallen' was used in the context of the ESC category 'syncope' (n=3) or the category 'no TLOC' (n=1).
It would be advisable to give the terms mentioned above a specific meaning: reserve 'collaps' for a fall without an obvious external cause, 'wegraking' for transient loss of consciousness without a clear cause, and 'syncope' for loss of consciousness due to temporary low cerebral blood flow.
调查荷兰一家急诊病房中使用的短暂意识丧失术语，并将其与欧洲的定义进行比较。
描述性研究。
回顾了荷兰莱顿大学医学中心急诊诊所八周期间所有连续就诊患者的记录。当遇到以下荷兰术语之一时，将患者纳入研究，这些术语表示非创伤性短暂意识丧失（TLOC）的特定形式或一般描述：“collaps”（虚脱）、“syncope”（晕厥）、“flauwvallen”（昏厥）、“wegraking”（TLOC）和“insult”（癫痫发作）。将这些术语的使用情况与欧洲心脏病学会（ESC）的定义进行比较。
急诊诊所中非创伤性TLOC诊断的患病率为2.9%（123/4300）。“collaps”是最常用的术语（53%），其次是“insult”（31%）、“wegraking”（11%）、“flauwvallen”（3%）和“syncope”（2%）。发现“collaps”一词用于ESC分类中的“晕厥”（n=47）、“TLOC”（n=5）、“无TLOC”（n=9）或无法分类的情况（n=4）。“insult”一词仅用于癫痫的情况，“syncope”一词仅用于ESC分类中的“晕厥”情况。事实证明，“wegraking”一词用于ESC分类中的“TLOC”（n=11）、“癫痫”（n=1）或无法分类（n=1）的情况。“flauwvallen”用于ESC分类中的“晕厥”（n=3）或“无TLOC”（n=1）情况。
建议赋予上述术语特定含义：将“collaps”保留用于无明显外部原因的跌倒，将“wegraking”保留用于无明确原因的短暂意识丧失，将“syncope”保留用于因暂时性脑血流量低导致的意识丧失。
