在641名患者中对复发性昏迷和昏迷前的观察
C J Mathias1, K Deguchi, I Schatz
1Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine at St Mary's, London, UK. c.mathias@ic.ac.uk
Lancet (London, England)
|February 24, 2001
概括
自主调查有助于在排除其他原因后复发性昏迷病例的诊断. 这项研究在40%以上的患者中发现了神经介导昏迷,改善了患者管理.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 自主功能障碍 自主功能障碍
背景情况:
- 昏迷是一种常见的,可能导致残疾的疾病,影响所有年龄段.
- 在排除神经,心脏和代谢原因后,诊断可能具有挑战性.
- 自主功能障碍是不明原因昏迷的潜在潜在原因.
研究的目的:
- 为了确定自主调查是否有助于在患有复发性昏迷和昏迷前症患者的诊断.
- 在第三级推中心确定自主测试的诊断产量.
主要方法:
- 追溯分析了641名在1992-1998年期间出现了复发性昏迷/昏迷前昏迷的患者.
- 已知自主性衰竭的患者排除;查和额外的自主性测试的评估.
- 评估非自主的神经,精神病和其他潜在原因.
主要成果:
- 自主调查证实了4.8%的慢性自主衰竭,并诊断出43.5%的神经介导 (血管35%).
- 其他确定的原因包括心血管 (8.3%),非自主神经系统 (6.7%) 和精神病 (8.7%).
- 在27.9%的患者中,昏迷仍然是未知的原因.
结论:
- 在排除常见原因时,自主调查对管理复发性昏迷有价值.
- 它有助于确定,确认或排除各种诊断因素和特定条件.
- 这种方法可以显著提高诊断清晰度和随后的患者管理.
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