Lührs Anke, Haensch Carl-Albrecht
Fortschr Neurol Psychiatr. 2022 Jul;90(7-08):368-379. doi: 10.1055/a-1803-8901. Epub 2022 Jul 20.
Having suffered a syncope or dizziness are frequent reasons for admissions to an emergency ward. Carefully taken anamnesis and clinical examination are mostly leading to a correct diagnosis. Red flags like new ECG changes, syncope during physical activity or others should lead to further diagnostic steps. Orthostatic intolerance is one of the most common reasons for dizziness and/or syncope. Autonomic testing including tilt table testing has to be done carefully and judged in an overall view together with anamnesis and clinical presentation. We present a clinical approach to the wide field of orthostatic intolerance with hints for the need of further autonomic testing.
发生晕厥或头晕是急诊病房收治患者的常见原因。仔细采集病史和进行临床检查大多能得出正确诊断。新出现的心电图变化、运动时晕厥等警示信号应促使采取进一步的诊断措施。直立不耐受是头晕和/或晕厥最常见的原因之一。包括倾斜试验在内的自主神经功能测试必须谨慎进行，并结合病史和临床表现进行全面评估。我们提出了一种针对直立不耐受这一广泛领域的临床方法，并给出了进一步进行自主神经功能测试必要性的提示。
