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10. 一过性意识丧失
概 述
一过性意识丧失是由于脑供血不足所致的短暂意识丧失状态,发作时患者因肌张力消失不能保持正常姿势而倒地。一般为突然发作,迅速恢复,很少有后遗症。以下是一过性意识丧失诊治的临床路径。
表10.1 发生一过性意识丧失后进行重点评估
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.1_7991.jpg?sign=1739251716-gaeRbV5npH8GIfhl0lJC0D6s6siohsBt-0-b32b477487f4a6117c0e095babffdac9)
表10.2 晕厥后的心电图
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.2_59961.jpg?sign=1739251716-NEVHoJaKewWMRwpcSaFJdql0bSyFIiOU-0-ac293279dee5071eeb3f631bc4e4a4c5)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.2_1_59962.jpg?sign=1739251716-kSVTO9osRTyli2hyoa4CxA6efv6DCyQ7-0-72a41f59a04312931b507145d7828f0b)
注:AV,房室的;WPW综合征,沃尔夫-帕金森-怀特综合征
表10.3 全身性抽搐、血管迷走神经性晕厥及心源性晕厥(阿-斯发作)的鉴别要点
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.3_59963.jpg?sign=1739251716-8Tb7eMIBiYj1jNhLOwS6KuEkF6mn3GS0-0-93e1f026cd44d8389e8e01c7e5dbf8f1)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.3_1_59964.jpg?sign=1739251716-a9IehO6kzaGcmBOK0B3SdlGBF2uhrk7N-0-1f0a0eb5cf8a7f8ad7508fc8ba1ec1b1)
表10.4 晕厥的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.4_59965.jpg?sign=1739251716-hB6tNVSR8PbHx93oSJkm5DK6LCSFRbF1-0-f79f66465b47fdbcbbe78ee3470621a2)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.4_1_59966.jpg?sign=1739251716-9OgecKMQYqQJMy3bxZteNQcx2Eiwd2Kx-0-24e8d5ff1b2bbb7adbbce695185ed9de)
注:TIA,短暂性脑缺血发作;境遇性晕厥:晕厥发生在咳嗽、排尿、排便或吞咽时,不伴有其他引起心电图或体格检查的明显异常
表10.5 颈动脉窦过敏的检查
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.5_8304.jpg?sign=1739251716-FUujBApsvQNXkmMO81gMrmrRZ4UdjTtK-0-e22edc6af875a3556acd6fc810fd7c39)