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口服补液盐治疗儿童神经介导性晕厥研究进展
引用本文:张文华,王成. 口服补液盐治疗儿童神经介导性晕厥研究进展[J]. 中国小儿急救医学, 2014, 0(8): 533-536
作者姓名:张文华  王成
作者单位:长沙市第三医院儿科
基金项目:“十二五”国家科技支撑计划(2012BA103803),湖南省自然科学基金课题(13JJ5014),湖南省卫生厅课题(B2013-013)
摘    要:神经介导性晕厥(neurally mediated syncope,NMS)是儿童最常见的不明原因晕厥,口服补液盐是治疗NMS的基础用药,可增加细胞外液和血容量,改变血液的重新分布,避免突然体位变化时左室充盈量不足导致的排空效应,防止迷走神经活性增强诱发晕厥发作,能明显提高NMS儿童的直立不耐受能力.增加水盐摄入纳入NMS儿童日常生活中的行为习惯培养,可减少儿童NMS的出现率,提高其生活质量.

关 键 词:神经介导性晕厥  口服补液盐  治疗

The research progress of oral rehydration salts treating neurally mediated syncope in children
Zhang Wenhua,Wang Cheng. The research progress of oral rehydration salts treating neurally mediated syncope in children[J]. Chinese Pediatric Emergency Medicine, 2014, 0(8): 533-536
Authors:Zhang Wenhua  Wang Cheng
Affiliation:. (Division of Cardiovascular Pediatrics, Children' s Medical Center, Second Xiangya Hospital of Central South University, Institute of Pediatrics of Central South University, Changsha 410011, China)
Abstract:Neurally mediated syncope (NMS) is the most common children unexplained syncope.Oral rehydration salts is the basis for the treatment of NMS.Oral rehydration salts can increase the extracellular fluid and blood volume,change the redistribution of blood,avoid the emptying effect caused by inadequate left ventricular filling volume when position changes suddenly,prevent increased vagus nerve activity induced syncope,can obviously increase the NMS children's ability of orthostatic intolerance.Increase water salt intake can be incorporated into the behavior training of the NMS children's daily life,and it can reduce the occurrence rate of NMS children,and improve the quality of life.
Keywords:Neurally mediated syncope  Oral rehydration salts  Treatment
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