Center for Pediatric Neurology, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Semin Pediatr Neurol. 2013 Mar;20(1):12-7. doi: 10.1016/j.spen.2012.12.003.
Pediatric syncope is one of the most common neurological problems in the pediatric population in both the office setting and in the emergency department. The abrupt brief loss of consciousness is usually dramatic and alarming to patients, family, onlookers, and providers. The differential diagnosis of syncope is wide but most cases are benign. A comprehensive but focused history and a thorough clinical examination are usually the cornerstones in the diagnosis of high-risk patients. It should be noted that the evaluation of syncope in children is costly and testing provides a low diagnostic yield. This chapter reviews the various types of syncope and provides a succinct clinical approach to the diagnosis, investigation, and management of syncope in children.
儿科晕厥是儿科人群在办公室和急诊室中最常见的神经问题之一。突然短暂的意识丧失通常对患者、家属、旁观者和医务人员来说都是戏剧性和令人担忧的。晕厥的鉴别诊断范围很广，但大多数情况是良性的。全面但有针对性的病史和彻底的临床检查通常是诊断高危患者的基石。值得注意的是，儿童晕厥的评估成本高昂，检查的诊断率很低。本章回顾了各种类型的晕厥，并提供了一种简洁的临床方法来诊断、检查和管理儿童晕厥。
