Hekkala Anna-Mari, Parikka Hannu
Duodecim. 2014;130(8):819-21.
Loss of consciousness i.e. syncope is a common cause of getting to emergency call service. We describe two patients, in whom fainting was caused by reflexogenic syncope. The diagnosis is quickly solved if there is patience to review the patient history as thoroughly as possible. Registration of the conventional 12-lead electrocardiography and clinical examination usually suffice as basic investigations, without the need for expensive equipment. Careful scrutiny of the medical history will not only reveal the cause of fainting but also the predisposing factors, whereby recurrence of the event can easily be avoided by recognizing a threatening situation early enough.
意识丧失即晕厥是拨打急救电话的常见原因。我们描述了两名患者,他们的昏厥是由反射性晕厥引起的。如果有耐心尽可能全面地回顾患者病史,诊断就能迅速明确。常规12导联心电图检查和临床检查通常足以作为基本检查,无需昂贵设备。仔细审查病史不仅能揭示昏厥原因,还能发现诱发因素,通过尽早识别危险情况,可轻松避免该事件再次发生。