Sayk F, Berndt M J
Medizinische Klinik I, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, Lübeck, Germany.
Med Klin Intensivmed Notfmed. 2013 Feb;108(1):25-32. doi: 10.1007/s00063-012-0171-5. Epub 2013 Feb 1.
Syncope is a common symptom in the emergency department. While most causes are benign and self-limiting not requiring extensive in-hospital evaluation, others are potentially severe. The optimal evaluation of patients with syncope follows a risk-adapted diagnostic algorithm in order to exclude life-threatening conditions and to identify those with high risk for further deterioration, such as structural heart diseases requiring further diagnostic evaluation. Low risk patients can be discharged without further extensive diagnostic work-up. This article presents an algorithm for the diagnostics of syncope in accordance with current guidelines.
晕厥是急诊科的常见症状。虽然大多数病因是良性且自限性的，无需在医院进行广泛评估，但其他病因可能较为严重。对晕厥患者进行最佳评估需遵循风险适应性诊断算法，以排除危及生命的情况，并识别出有进一步恶化高风险的患者，例如需要进一步诊断评估的结构性心脏病。低风险患者可以在不进行进一步广泛诊断检查的情况下出院。本文根据当前指南介绍了一种晕厥诊断算法。
