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| 以晕厥为首发症状的锁骨下动脉盗血综合征20例临床分析 | |
| 引用本文： | 李俊枝,杜芳,蔡斌,李燕,许涵. 以晕厥为首发症状的锁骨下动脉盗血综合征20例临床分析[J]. 陕西医学杂志, 2011, 40(10): 1331-1333 |
| 作者姓名： | 李俊枝 杜芳 蔡斌 李燕 许涵 |
| 作者单位： | 1. 西安市第九医院急诊科,西安,710054 2. 第四军医大学西京医院 |
| 摘 要： | 目的:探讨以晕厥为首发症状的锁骨下动脉盗血综合征(SSS)的临床特征及急诊诊断方法。方法:分析急诊20例以晕厥为首发症状的SSS患者的临床特征、误诊原因、TCD和颈动脉彩色多普勒超声检查的结果。结果:最常见的误诊诊断:脑血管性晕厥6例,癫痫3例,反射性晕厥4例,心源性晕厥5例,代谢性晕厥2例。6例经皮腔内血管成形术(PTA)治愈,12例病因治疗症状改善,2例放弃治疗。椎动脉(VA)反向血流是SSS的重要诊断依据。结论:以晕厥为首发症状的SSS极易误诊。主要的病因是动脉粥样硬化。急诊确诊SSS主要靠颈动脉彩色多普勒超声、TCD。 |
| 关 键 词： | 晕厥 锁骨下动脉窃血综合征 超声检查,多普勒,彩色 误诊 |
The misdiagnosis analysis of subclavian steal syndrome with syncope as first symptom 20 cases report |
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| Emergency Department th Hospital of Xi'an Li Junzhi Du Fang Cai Bin et al. The misdiagnosis analysis of subclavian steal syndrome with syncope as first symptom 20 cases report[J]. Shaanxi Medical Journal, 2011, 40(10): 1331-1333 | |
| Authors: | Emergency Department th Hospital of Xi'an Li Junzhi Du Fang Cai Bin et al |
| Affiliation: | Emergency Department 9th Hospital of Xi'an(Xi'an 710054) Li Junzhi Du Fang Cai Bin et al |
| Abstract: | Objective:To investigate the clinical characteristics,methods of emergency diagnosis in patients with subclavian steal syndrome(SSS)presenting with syncope.Methods:Analyze clinical manifestations,reasons of misdiagnosis,cervical vascular ultrasound and TCD were collected among 20 SSS cases with syncope as first symptom.Results:The most common misdiagnosed diseases were cerebrovascular syncope(6 cases).The other misdiagnosed diseases included epilepsy(3 cases),reflex syncope(4 cases),cardiogenic syncope(5 ca... |
| Keywords: | Syncope Subclavian steal syndrome Ultrasonography doppler color Diagnostic errors |
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