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目的探讨心源性晕厥患者的临床特点以及诊断。方法回顾性分析北京昌平中医医院心源性晕厥患者52例的临床资料。结果本组心源性晕厥患者的病因构成:心律失常性晕厥38例,占73.1%;心脏排血障碍9例,占17.3%;心肌本身病变5例,占9.6%。所有患者治疗后好转46例,死亡6例。结论临床电生理检查可以明确心源性晕厥的病因,而且对于指导临床治疗具有重要的价值。
Objective To investigate the clinical features and diagnosis of cardiogenic syncope. Methods The clinical data of 52 cases of cardiogenic syncope in Changping Hospital of Traditional Chinese Medicine were retrospectively analyzed. Results The etiology of patients with cardiac syncope: 38 cases of arrhythmic syncope, accounting for 73.1%; 9 cases of cardiac drainage disorder, accounting for 17.3%; 5 cases of myocardial disease itself, accounting for 9.6%. All patients improved 46 cases after treatment, 6 patients died. Conclusion Clinical electrophysiological examination can clear the etiology of cardiogenic syncope, and is of great value in guiding the clinical treatment.