![急诊临床路径](https://wfqqreader-1252317822.image.myqcloud.com/cover/11/36535011/b_36535011.jpg)
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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=1739291044-Wd9HVmq74K0AuSpBG5mcI9JyI8DSbkAR-0-dfe97872c61ea3c37f8a944c92104b53)
表10.2 晕厥后的心电图
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.2_59961.jpg?sign=1739291044-T00Sa4WzAfHYnNZlKK1KyfsFab7MUdfg-0-35be4ea508d6f5d3546f5500738f3a46)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.2_1_59962.jpg?sign=1739291044-ToVOBABstIbyi6ti042PDHQLsepeCB2M-0-8812f228d2acaebfd3b748a240d1e477)
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=1739291044-LODBYwTuLesmXQLjTJ4QcH8IFRFYhHKm-0-fa376966fa503771432900a05a8a2513)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.3_1_59964.jpg?sign=1739291044-WiaKv6UrWXwM00ZtymAMg8xzUWw3U4jf-0-d17c0c1efd545e8b002bfff5979c8ac0)
表10.4 晕厥的病因
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.4_59965.jpg?sign=1739291044-obyc7ssQM5IIQKuuBJg87OIbyCYVnVAm-0-50f8ed20628783478f68bd08aeb1151b)
续表
![](https://epubservercos.yuewen.com/1C1403/19400084308706906/epubprivate/OEBPS/Images/T10.4_1_59966.jpg?sign=1739291044-HlFSYt1G9tdyk1i3Q4HLn4UBtZ5ZBpvr-0-294afda4f1575dbc4f3021fe733b1386)
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=1739291044-eVuOXBpzA9p3f5k91Wf3r4MkAuzPupwr-0-0660acb640daa8c30d07777919e6c6db)