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ID:47693181
大小:49.50 KB
页数:10页
时间:2019-10-24
《晕厥鉴别诊断(Differentialdiagnosisofsyncope)》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、晕厥鉴别诊断(D辻ferentialdiagnosisofsyncope)Thedifferentialdiagnosisofsyncope・Txt21springblossoms!Ifyouhaveeverbeeninwinter,youwillhavespring!Ifyouhavefaith,thenspringmustbefaraway:ifyouarepaying,thenonedayyouwillhaveafullcircleofflowers・DifferentialdiagnosisofsyncopeInthemorec
2、ommonclinicalsyncopecausedbybraincomprehensivehypoperfusionwithtransientdisturbanceofconsciousnessneedsandvariousseizuresdifferentiatevasovagalsyncopemostlybeforetheemotionalstimulationorpainordehydrationorbleedinghistoryofpersistentstandingwhenmicturitioncoughorthostati
3、csyncopearelowbloodpressuresuddenlystoodupincardiogenicsyncopeforcedorrunintheeventofsyncopeattackbeforethefirstgeneralsymptomssuchasdizzinesschesttightnessamaurosisconsciousnessandphysicalrecoveryiss1owandepilepsyassuddenrapidrecoveryI.differentialdiagnosisofsyncope(I)a
4、bsenceseizuresThemaindisturbanceofconsciousnessmaybeaccompaniedbymildtensionfreecomponentcompositionclonictoniccomponentsofautomatismorautonomicsymptomsmorefrequentlythanyoungagebeforetheonsetofemotionalstimulationorpainordehydrationorbleedinghistoryofpersistentstandingu
5、rinationcoughcausenoobviouswarningsignsbeforetheonsetofseizureEEGafterfastrecoveryofCTishelpfultothediagnosisof(two)tonicclonicseizures;Withthelossofconsciousnessandconvulsionscharacterizedtheclinicalmanifestationsofallskeletalmusclesshowedsustainedcontractionofuppereyel
6、idliftingeyechannelingthroatspasmscreamingmouthfirstandthensuddenlyclosedastrongneckandtorsomaybitetonguebucklingandantiselfliftafterZhangupperlimbrotationisanteriorcircumflexfromlowerlimbflexionintoastrongstraightafter10-20sinatinytremorlimbtremoramplitudeincreasesgradu
7、allyandextendtothewholebodywithincreasedheartratebloodpressureandbronchialsecretionofsalivasweatmydriasisandotherautonomicsignsofbreathingtemporarilyinterruptedtheskinfromwhitetopalecyanosis,pupillarylightreflexandreflexdepth;plantarreflexextensionrecoveredfirstwithnosea
8、ndmouthspraythefoamorbloodpupil,heartrateandbloodpressurereturnedtonormalrespiratorymuscletensionrelaxa
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