儿童晕厥诊治停顿(国外英文资料).docVIP

儿童晕厥诊治进展 Echocardiogram The EEG Holter ECG Electrophysiological Study CT scan or MRI Informed Evaluation Blood glucose and electrolytes tests The First step - + NO The Second step The Re - appraisal Definite diagnosis is made Figure 1: the Algorithm for the diagnostic approach to syncope in children and adolescents The methodology of vertical tilt testing HUT is the main method of diagnosing and differentiating patients with syncope at home and abroad. The methodology research of HUT many at home and abroad, and it is an excitation experiment, sometimes have certain risk, so in 1996 the American heart association developed a HUT in the evaluation of patients with VVS Suggestions; At the same time, the authors of the Chinese journal of the editorial committee of the Chinese journal of cardiovascular disease in 1998 also developed a tilt experiment to diagnose patients with vasovagal syncope. In 2004, the European society of cardiology learned the recommendations for the draft tilt test. The rules of operation method, adaption, taboo and positive result of HUT were given in detail. But the above advice is mainly for adults, and there is no uniform standard for pediatrics. For the adaptation of the HUT, the consensus at home and abroad is that it is clear that the adaptive evidence is (1) repeated syncope or near-syncope. (2) a syncope, but a high risk career. In addition, it is also a relative adaptation for those who strongly require a clear diagnosis of psychological and emotional attachment. HUT refers to let children stand in a certain Angle (more than 60 ° ~ 70 °) leans on the bed, in a certain period of time (45 min) more see if children appear positive response. There are two types of HUT: one is the basic upright tilt experiment (BHUT) and the drug-induced upright tilt test. BHUT is the most valuable, providing a basis for rational drug use and differential diagnosis by providing a change in the dynamics of blood flow in children. The test should be in a quie