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[咳嗽性晕厥作为交通事故的一个原因]

[Cough syncope as a cause of traffic accident].

作者信息

Haffner H T, Graw M

机构信息

Institut für Gerichtliche Medizin der Universität Tübingen.

出版信息

Blutalkohol. 1990 Mar;27(2):110-5.

PMID:2328104
Abstract

The rare tussive syncope syndrome, which can lead to a road traffic accident, occurs almost solely in the male aged 40 years and over with a pyknic to athletic physique, who suffer from obstructive respiratory tract disease and/or pulmonary emphysema. Frequently there is a correlation between the illness and alcohol and tobacco consumption. Loss of consciousness lasting only a few seconds occurs a few seconds after a coughing attack leaving behind a short loss of memory. Tussive syncope can be a solitary event, but can also occur up to thirty times a day. In foro, characteristically the link between a heavy coughing and loss of consciousness as well as the type of person make diagnosis easier. The suitability of the subject to hold a driving licence should be judged carefully and on individual criteria.

摘要

罕见的咳嗽性晕厥综合征几乎仅发生于40岁及以上、体型矮胖至健壮的男性,他们患有阻塞性呼吸道疾病和/或肺气肿,这种综合征可能导致交通事故。该疾病常与饮酒和吸烟有关。咳嗽发作后几秒钟会出现仅持续几秒的意识丧失,并伴有短暂失忆。咳嗽性晕厥可以是单次发作,但也可能一天发作多达30次。在法庭上,剧烈咳嗽与意识丧失之间的关联以及患者类型有助于诊断。应根据个人标准仔细判断患者是否适合持有驾驶执照。

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Diagnostic role of head-up tilt test in patients with cough syncope.直立倾斜试验在咳嗽性晕厥患者中的诊断作用。
Europace. 2016 Aug;18(8):1273-9. doi: 10.1093/europace/euv283. Epub 2016 Jan 18.