頁籤選單縮合
| 題 名 | Tilt Table Test in Children with Unexplained Syncope=不明原因暈厥的兒童接受傾斜床檢查的結果 |
|---|---|
| 作 者 | 林鈺然; 李必昌; 黃碧桃; 孟春昌; | 書刊名 | Acta Cardiologica Sinica |
| 卷 期 | 22:3 民95.09 |
| 頁 次 | 頁142-147 |
| 分類號 | 417.522 |
| 關鍵詞 | 兒童; 暈厥; 傾斜床檢查; Children; Syncope; Tilt table test; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景 神經心臟性暈厥是兒童時期最常見暈厥的原因。然而其機轉雖然被認為是自主神經功能的異常,但是在兒童身上卻未被完全瞭解。傾斜床檢查目前廣泛被用來評估不明原因的暈厥,雖然以前一些文獻曾經報告兒童時期的神經心臟性暈厥,但是臨床表徵與傾斜床結果之間的關係仍然未被釐清。這篇文章即在評估在本院接受傾斜床檢查的不明原因暈厥的病童,嘗試進一步瞭解兩者之間的關係。方法 從2001年七月至2006年三月,在本院接受傾斜床檢查的不明原因暈厥病童總共有十七名。我們將這些病童分成兩組:第一組包括五位傾斜床檢查陽性的病童,而第二組則包括十二位傾斜床檢查陰性的病童。我們比較這兩組病童的基本資料、臨床表徵、與實驗室檢查的結果。結果 兩組之間比較,關於性別、年齡、暈厥次數、與暈厥病史並無明顯不同。傾斜床檢查陽性的病童通常有較高比例的暈厥誘發因子與先驅症狀(5/5 vs. 3/12, p<0.05),同時有百分之八十是屬於混合型。所有五位傾斜床檢查陽性,與一位傾斜床檢查陰性的病童,都接受藥物治療。同時教育病童與家屬瞭解暈厥的先驅症狀,如何避免誘發因子,強調喝水、攝取鹽分、與自我保護的重要性。結論 我們認為暈厥病童的年齡及性別並不會影響傾斜床檢查的結果。發生暈厥的頻率與時間可能反應疾病的嚴重度;但是並不能以此預測傾斜床檢查的結果。如果不明原因暈厥的病童,有暈厥的誘發因子與先驅症狀,則通常有較高的比例傾斜床檢查是陽性的。 |
| 英文摘要 | Background: Neurocardiogenic syncope is well known as the most frequent cause of syncope in childhood. The head-up tilt table test (HUTT) is now widely used to evaluate patients with unexplained syncope. Although many reports have reported on children associated with neurocardiogenic syncope, the relationship between the clinical characteristics of those patients and the results of the HUTT remains to be clarified. We therefore studied the children with unexplained syncope who underwent a tilt table test at our institution, to determine their clinical characteristics and the HUTT results. Methods: From July 2001 to March 2006, a total of 17 pediatric patients with unexplained presyncope and syncope that underwent a HUTT at our institution were included. We divided those patients into two groups: Group 1 included five children who had a positive tilt table test, and Group 2 included 12 children who had a negative tilt table test. We compared the demographic, clinical and laboratory data between the two groups. Results: There were no significant differences regarding the age, sex, syncopal episodes or duration of the syncopal history between the two groups. The children with a positive HUTT response often had predisposing factors of syncope and experienced prodromes (5/5 vs. 3/12, p<0.05). A mixed hemodynamic response predominated (80%) in our positive tilt patients. Conclusion: We concluded that the presence of predisposing factors or prodromes of syncope was closely associated with a positive HUTT. |
本系統中英文摘要資訊取自各篇刊載內容。