Neurocardiogenic syncope
Neurocardiogenic syncope
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DOI：
10.1056/nejmcp042601
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发表时间：
2005-03-10
影响因子：
158.5
通讯作者：
Grubb, BP
中科院分区：
文献类型：
--
作者：
Grubb, BP
一名23岁的护士在过去的三个月里在工作中发生了五次晕厥后接受了评估。所有这些事件都发生在她站着的时候，其特征是持续一到两秒的头晕目眩感，然后突然失去知觉。其中两次发作导致福尔斯跌倒，导致面部创伤。晕厥是短暂的，与尿失禁无关;随后是严重疲劳，但没有意识模糊。患者应如何评估和治疗？
A 23-year-old nurse presents for evaluation after having five episodes of syncope at work during the previous three months. All the episodes occurred while she was standing and were characterized by a feeling of light-headedness lasting one to two seconds and then an abrupt loss of consciousness. Two of the episodes caused falls that resulted in facial trauma. The syncope was brief and not associated with incontinence; it was followed by severe fatigue but no confusion. How should the patient be evaluated and treated?