Opstelten W, Visseren F L J
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
Ned Tijdschr Geneeskd. 2017;161:D1365.
Syncope can be caused by a pulmonary embolism. This applies in particular to elderly patients admitted with syncope; in the general population, however, syncope is far more frequently caused by a vasovagal response or orthostatic hypotension. Syncope can be the symptom of a pulmonary embolism, even in the absence of any clinical manifestations of this diagnosis; it is, therefore, important to exclude pulmonary embolism in any syncope patient in the accident and emergency department by applying the Wells clinical decision rule. GPs should also be alert to syncope as a possible symptom of pulmonary embolism, and be alert to breathing rate and signs of venous thrombosis.
晕厥可能由肺栓塞引起。这尤其适用于因晕厥入院的老年患者；然而，在一般人群中，晕厥更常见的原因是血管迷走反应或体位性低血压。即使没有该诊断的任何临床表现，晕厥也可能是肺栓塞的症状；因此，在急诊科对任何晕厥患者应用韦尔斯临床决策规则以排除肺栓塞很重要。全科医生也应警惕晕厥可能是肺栓塞的症状，并留意呼吸频率和静脉血栓形成的体征。
