产妇钳产后排尿性晕厥的预见性护理

对我科 10例产钳术后发生排尿性晕厥的临床资料进行分析 ,旨在发现产后排尿性晕厥的临床特点及高危人群 ,做好产妇排尿性晕厥的预防。1　临床资料2 0 0 1年我科有 10例产妇钳产后出现排尿性晕厥的情况。年龄 2 3～ 3 5岁 ,其中超过 3 0岁 6例。既往体健 ,否认心、脑、神经系统病史。发病时 ,二级护理 ,均为产后 6～ 8ｈ ,蹲位排尿后起来突然晕倒 ,不省人事 ,持续 0 5～ 3ｍｉｎ ,2例有轻微皮肤碰擦伤。多数产妇苏醒后无明显不适感 ,8例诉有轻微头晕伴有脸色苍白 ,出冷汗 ,休息片刻后消失 ,仅 1例给予 5 0 %葡萄糖加维生素Ｃ静脉推注 ,其余…     

排尿性晕厥4例报告

排尿性晕厥即排尿性低血压,此病多在排尿时或排尿后发病,笔者所见4例报告如下: 【例1】患者男,64岁,干部。第一次发作于1976年4月某日上午急走路2公里并登上四楼急排尿时,突感头晕,视物旋转,继而失去知觉,晕厥3分钟。查体:血压11.5/8.0千帕(86/60毫米汞柱),心率54次/分,心电图示窦性心动过缓。第二次发作于1979年8月午睡起床排尿时,与第一次发作类似。发作后查体亦与第一次相仿。患者平时血压偏低13.3/8.0千帕(100/60毫米汞柱),心率60次/分。【例2】患者男,40岁,科研人员,1982年7月某日午睡起床排尿时突感头晕,眼花,继而晕厥约1～2分钟,下午就诊时无阳性体征发现,患者平时除     

88例排尿性晕厥病人临床分析

目的　分析 88例排尿性昏厥病人的临床特点。方法　 1976～ 1999年临床诊治的 88例排尿性昏厥病人 ,年龄 11～ 76岁 ,其中男 5 9例 ,女 2 9例。分析发病时间与诱因 ,排尿与昏厥的关系 ,昏厥前征兆、临床症状和心电图乏氏试验。结果　 76例 (86 3% )于睡眠后起床时发病。 6 0例 (6 8 2 % )晕厥发生于排尿终末时或结束后。 5 5例 (6 2 5 % )无任何先兆症状。发病时病人有意识丧失 ,面色苍白 ,心率减慢和血压下降等症状。 32例 (47 7% )心电图乏氏试验阳性。 6 4例 (72 7% )有复发病史。结论　根据病人排尿过程中突然发生短暂昏厥诊断排尿性昏厥。心电图乏氏试验可作为诊断的重要依据 ,应常规检查     

排尿性晕厥患者直立倾斜试验探讨

排尿性晕厥(micturitionsyncope)是指在排尿过程中或排尿结束时突然发生的短暂意识丧失而倒地的一种疾病。有关这方面的研究报道较少,其发病机制尚未完全明确。本文报道因排尿而发生晕厥的4例患者,并就其进行的直立倾斜试验进行讨论。1　病例简介例1,男,15岁,1月内连续2次出现早晨起床站立排尿结束后突发晕厥倒地,晕厥持续1min/次左右自行缓解。晕厥前自感头昏、心悸。平素体健。基础直立倾斜试验阴性,同一角度舌下含服硝酸甘油02mg后3min血压下降到74/40mmHg,晕厥发作,倾斜试验结果阳性(血管抑制型)。例2,男,25岁,早晨上班后直立位排尿时…     

排尿晕厥综合征18例报告

现将我院自1994年1月20日至2004年5月20日以来门诊遇到的18例排尿性晕厥综合征，进行综合分析，现报告如下。     

排尿性晕厥误诊15例分析

排尿性晕厥是一种临床少见的特殊类型晕厥 ,往往造成误诊误治 ,给患者带来一定的精神痛苦和经济负担。在临床工作中 ,提高对本病的认识显得十分必要。现将我们 1994- 0 2～1999- 12收集排尿性晕厥误诊的 15例分析报告如下。1　临床资料1.1　一般资料　本组均为男性 ,年龄最小 18岁 ,最大 5 8岁 ,其中 2 0～ 40岁 12例 ,占 80 %。根据晕厥发作的特定状态而确诊。1.2　临床表现　 15例患者均于夜间 (11例 )或清晨 (4例 )起床站立小便时突发意识丧失而倒地 ,持续约 1～ 2 min自行苏醒。其中 5例伴发抽搐 ,3例有明显头面部外伤。首次发病 1例 ,…     

排尿性晕厥24例报告

排尿性晕厥是指排尿开始时、排尿过程中、排尿终末或结束后立即发生的一种晕厥[1]。作者自1997年1月至2007年6月曾在门诊接诊排尿性晕厥患者24例,现报告如下。1临床资料1.1一般资料24例患者中男23例,女1例。职业:医务人员8例,机关干部及企事业单位主管11例,工人2例,农民3例。晕     

中医药治疗排尿性晕厥研究进展

发生于排尿时或排尿结束时的突然发生的短暂意识丧失称为排尿性晕厥。本病常反复发作,发病常常在午夜、午睡、晨起排尿过程中或终了时发生,现代医学对此疾病治疗有一定的报道,但无特殊治疗。中医药在该病治疗方面取得了较好的疗效。现综述如下:1病因病机王永森[1]认为本病乃肾阳不足,下焦水饮上逆,蒙蔽清阳导致。宋效芝[2]认为该病因素体虚弱,阴阳失调,气机逆乱,阴阳之气不相顺接,气血不能上荣于心脑,神失所主,脑失所养,神明不清,而致忽然晕厥。顾自悦[3]认为与脾肾俱虚,清阳不升相关。朱志义[4]认为乃中气不足,固涩无力,加之入寐后阳入于阴…     

Clinical characteristics of defecation and micturition syncope compared with common vasovagal syncope

Background: Little is known about the clinical characteristics of patients with situational syncope such as defecation syncope (DS) or micturition syncope (MS) compared with those with common vasovagal syncope (VVS). Methods: Among 680 consecutive patients, who underwent a head‐up tilt test between January 2006 and November 2010, 282 patients (40.4±16.7 years; 48.6% men) diagnosed as DS (n = 38), MS (n = 38), or common VVS (n = 208) were included. Results: Ages at diagnosis (38.7±17.3 vs 48.3±14.1 vs 42.0±13.8, P = 0.004) and the first syncope (33.7±18.4 vs 44.5±15.3 vs 37.5±14.6, P = 0.002) were significantly less in patients with common VVS than those with DS or MS, respectively. The patients with MS were more likely to be men (73.7%, P = 0.036), whereas patients with DS were more commonly women (73.7%). No sexual preference was observed in patients with common VVS. Body mass index was significantly lower (P = 0.047) and syncopal episodes were more recurrent (P = 0.049) in patients with common VVS than those with DS or MS. The frequency of drinking alcoholbefore syncope was significantly higher in patients with MS (39.5%, P < 0.001). Conclusions: DS tended to occur in older women, whereas MS tended to occur in middle‐aged men and drinking alcohol was an important precipitating factor for MS. However, common VVS was observed more in a thin and young population, which was more recurrent compared with those situational syncopes. (PACE 2011;1–7)     

老年人晕厥的临床特征分析

目的分析老年人晕厥的临床特征。方法整理、归纳老年晕厥106例的临床资料。结果老年人晕厥以男性居多,心源性为主(51.9%),脑源性次之(29.2%);晕厥发作大多在运动时(70.7%);绝大多数病例(89.6%)存在2种或2种以上基础疾病和(或)合并症;发作时伴发心律(率)和血压或心电图的异常,或发作后伴发心绞痛或胸闷或呼吸困难,高度提示心脏或血管原因;本组死亡10例,心源性者7/10,其中4例有心力衰竭。结论晕厥在老年人群中常见,其中心源性居多,自限性差,是疾病预后不良的危险因素;复杂的基础疾病和(或)合并症等多个因素共同参与晕厥的发生。     

Potential drug-drug interactions in elderly patients presenting with syncope

Adverse drug reactions and interactions are a common cause of iatrogenic disease. Although there are resources available that have been developed for assessing potential drug-drug interactions (DDIs), one must first consider the possibility in order to apply these tools. This cross-sectional analysis of elderly patients evaluates Emergency Physician documentation of potential DDIs and assesses the utility of computer software recognition of interactions that can lead to syncope. In this study, lack of documentation of a patient's past medical history and medications suggests that Emergency Physicians are not evaluating DDIs as a possible source of their patient's symptoms. The computer resources evaluated were found to be easy to use and reliable. Rectifying and preventing potential DDIs can be an indispensible service provided by the Emergency Physician.     

疗养期间对空中晕厥飞行员的护理干预

空中晕厥是指在飞行的过程中发生一过性脑部缺血导致短暂的意识丧失状态。主要表现为头晕、视物不清、黑视、肌张力低下、出汗、面色苍白等,此时若及时变换体位,可能避免完全的意识丧失。空中晕厥有发生迅速、持续时间短暂、恢复完全的特点,给空中飞行带来了一定的安全隐患[1]。2008-03—2010-03,我院先后收治了12名确诊     

倾斜训练治疗血管迷走性晕厥的疗效观察和护理

倾斜训练是治疗血管迷走性晕厥的有效方法.通过对36例患者的观察和护理,认为:向患者讲明检查和治疗中可能出现的反应,体现人文关怀,做好心理护理,密切监测患者的心率、心律、血压和反应,做好急救准备是治疗成功的保证.     

Health of the elderly with regard to sleep and nocturnal micturition.

A questionnaire study was carried out among pensioners in J?mtland County, Sweden. The questionnaire was answered by 1,115 persons, representing a response rate of 74%. It covered various aspects of health, with emphasis on sleep, fatigue, thirst, and other symptoms that may interfere with night-time sleep. The data were analysed with regard to the stated number of night-time disturbances due to urination. Nocturnal micturition was often associated with increased sleep disorders, a poorer quality of sleep, increased thirst, particularly at night, and increased fatigue in the daytime. All the relationships were clearer in women than in men. There was no relationship between reported enuresis in childhood and an increased frequency of voiding when the subject became older.     

老年人骨折的护理体会

老年人在骨骼再造的过程中,钙从骨骼移出的量比积存的量要多,所以骨质变得疏松,在轻微外力的作用下就容易发生骨折。且老年机体的各项机能都在不断地衰退,组织再生能力差,导致骨折后愈合时间延长,同时长     

血管迷走性晕厥病人行直立倾斜试验的护理

晕厥是临床上较为常见的一种综合征。血管迷走性晕厥在不明原因的晕厥中约占 70 % [1] ,直立倾斜试验已逐渐成为诊断血管迷走性晕厥的重要手段。血管迷走性晕厥病人在日常生活中以及在直立倾斜试验前后的护理干预较为重要。现就本院收治的 12 8例病人的情况总结如下。1　资料与     

老年人的护理体会

目的介绍医院内“康乐园”护理老年人的经验。方法120张床位收住疗养的老年人。对患有慢性病者坚持按时给药，病情突发变化则就地医治。对老年人开展有的放矢的心理护理，做好安全防护、科学调配饮食，开展丰富多彩的娱乐活动。结果老年人情绪稳定、饮食满意、生活质量提高。结论护理工作是养老院特殊医疗和护理的重要工作之一。