中国晕厥中心建设专家建议
摘要
专家组针对我国晕厥患者众多,且缺乏规范化管理,造成晕厥诊断率低,误诊率高,复发率高,以及较高的、不必要住院率和医疗负担重等问题,建议在三级甲等医院成立晕厥中心,对短暂意识丧失患者进行集中、规范管理。对晕厥中心建设提出了推荐意见,包括成立晕厥门诊、功能性晕厥病房。要求晕厥中心由经过培训的专门的医生和护士负责,统一诊断标准与处理流程,具备相应的设备,并负责患者资料管理和随访。达到方便患者就诊,提高晕厥患者的诊断率,减少复发率,降低心血管病事件发生率及不必要的医疗费用。
引文
[1] Kenny RA, Brignole M, Dan GA, et al. Syncope unit:rationale and requirement--the European Heart Rhythm Association position statement endorsed by the Heart Rhythm Society[J]. Europace, 2015,17(9):1325-1340. DOI:10. 1093/europace/euv115.
[2] Parry SW, Frearson R, Steen N, et al. Evidencebased algorithms and the management of falls and syncope in the acute medical setting[J].Clin Med(Lond),2008,8(2):157-162.
[3] Brignole M, Ungar A, Bartoletti A, et al. Standardized-care pathway vs. usual management of syncope patients presenting as emergencies at general hospitals[J]. Europace, 2006, 8(8):644-650.
[4] Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope[J]. Eur Heart J, 2018,39(21):1883-1948. DOI:10. 1093/eurheartj/ehy037.
[5]刘文玲,胡大一,郭继鸿,等.晕厥诊断与治疗中国专家共识(2014年更新版)[J],中华内科杂志,2014, 53(11):916-925.
[2] Parry SW, Frearson R, Steen N, et al. Evidencebased algorithms and the management of falls and syncope in the acute medical setting[J].Clin Med(Lond),2008,8(2):157-162.
[3] Brignole M, Ungar A, Bartoletti A, et al. Standardized-care pathway vs. usual management of syncope patients presenting as emergencies at general hospitals[J]. Europace, 2006, 8(8):644-650.
[4] Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope[J]. Eur Heart J, 2018,39(21):1883-1948. DOI:10. 1093/eurheartj/ehy037.
[5]刘文玲,胡大一,郭继鸿,等.晕厥诊断与治疗中国专家共识(2014年更新版)[J],中华内科杂志,2014, 53(11):916-925.