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Diagnosis and treatment of cardiogenic syncope in children

  

  1. Department of Cardiology,Beijing Children’s Hospital, Capital Medical University, Beijing  100045, China
  • Online:2020-08-06 Published:2020-09-07

儿童心源性晕厥的诊断与治疗进展

  

  1. 首都医科大学附属北京儿童医院心脏内科,北京  100045

Abstract: Syncope is one of the most common diseases in children. According to the etiology, it can be divided into autonomic nerve mediated syncope, cardiogenic syncope and a small part of unexplained syncope. According to the epidemiology, cardiogenic syncope is the second etiology of syncope in children. In recent years, it has gradually attracted more and more attention from clinicians because of its clinical crisis and severe condition, which requires accurate and active rescue as early as possible, and it is with high rate of sudden death,high risk and poor prognosis. The article comprehensively analyzes the progress of diagnosis and treatment of cardiogenic syncope in children to provide clinicians with a deeper understanding of cardiogenic syncope, so as to improve the survival rate and quality of life after syncope in children.

Key words: child, cardiogenic syncope, diagnosis, treatment

摘要: 儿童晕厥是小儿常见病之一。根据其病因可分为自主神经介导性晕厥、 心源性晕厥和少部分原因不明性晕厥。流行病学显示, 心源性晕厥为儿童晕厥的第二位病因。因其临床危急、 重症, 需尽快精准积极抢救, 且猝死率高、 风险大、 预后较差等因素, 近年来, 逐渐受到更多临床医师的关注。该文综合分析了儿童心源性晕厥诊断与治疗的进展, 旨在为临床医师对心源性晕厥提供更深刻的认识, 以提高患儿晕厥后的存活率及生存质量。

关键词: 儿童, 心源性晕厥, 诊断, 治疗