舊金山暈厥規則對急診暈厥患者的評估價值_West China Medical Journal

Authors：

夏義琴 , 張蜀 , 曹鈺 ,  胡海

Corresponding?author：

胡海, Email: 346895131@qq.com

Keywords：

舊金山暈厥規則; 嚴重不良后果; 評估價值

DOI：

10.7507/1002-0179.20130428

Video：

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目的　探討舊金山暈厥規則對國內以暈厥就診的急診患者發生嚴重不良后果及需要住院治療有無評估價值。方法　根據舊金山暈厥規則，將2009年1月1日－3月31日期間納入的100例患者分為高危暈厥組（29例）和低危暈厥組（71例），比較兩組患者入院情況，進而評估舊金山暈厥規則對暈厥患者是否需要入院和再入院情況有無預測價值。結果　高危組和低危組住院的患者分別為25例和40例，分別占所在組總人數的86.2%和56.3%，兩組間差異有統計學意義（P=0.004）。結論　舊金山暈厥規則對急診暈厥患者的快速評估和分流有一定的臨床應用價值。

Citation： 夏義琴,張蜀,曹鈺,胡海. 舊金山暈厥規則對急診暈厥患者的評估價值. West China Medical Journal, 2013, 28(9): 1363-1364. doi: 10.7507/1002-0179.20130428 Copy

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1. 　Moya A, Sutton R. Guidelines for the diagnosis and management of syncope[J]. EHJ, 2009, 30(21): 2631-2671.
2. 　Soteriades ES, Evans JC. Incidence and prognosis of syncope[J]. N Eng J Med, 2002, 347(12): 878-885.
3. 　Quinn JV, Stiell IG, McDermott DA, et al. Derivation of the San Francisco syncope rule to predict patients with short-term serious outcomes[J]. Ann Emerg Med, 2004, 43(2): 224-232.
4. 　Quinn JV, Stiell IG, McDermott DA, et al. The San Francisco syncope rule vs physician judgment and decision making[J]. Am J Emerg Med, 2005, 23(6): 782-786.
5. 　Quinn J, McDermott D, Stiell I, et al. Prospective validation of the San Francisco syncope rule to predict patients with serious outcomes[J]. Ann Emerg Med, 2006, 47(5): 448-454.
6. 　Mendu ML, McAvay G, Lampert R, et al. Yield of diagnostic tests in evaluating syncopal episodes in older patients[J]. Arch Intern Med, 2009, 169(14): 1299-1305.

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