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硝酸甘油结合直立倾斜试验诊断血管迷走性晕厥 被引量:5

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摘要 目的探讨血管迷走性晕厥(VVS)患者行直立倾斜试验(HUT)的可行性。方法对临床已排除器质性病变的晕厥患者行HUT,包括基础试验和硝酸甘油、异丙肾上腺素药物激发试验。结果190例中阳性129例,阳性率为67.89%;其中基础HUT阳性率16.32%(31/190);硝酸甘油激发的阳性率57.86%(92/159);硝酸甘油激发阴性者再经异丙肾上腺素激发阳性率8.96%(6/67)。结论基础HUT结合药物激发诊断VVS安全可行,其中硝酸甘油舌下含服方便、省时、耐受性好,无严重的副反应,有较高的敏感性和特异性。
作者 张朝新
出处 《现代医学》 2009年第4期310-312,共3页 Modern Medical Journal
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