旧金山晕厥规则对急诊晕厥患者的评估价值_West China Medical Journal

Authors：

夏义琴 , 张蜀 , 曹钰 ,  胡海

Corresponding author：

胡海, Email: 346895131@qq.com

Keywords：

旧金山晕厥规则; 严重不良后果; 评估价值

DOI：

10.7507/1002-0179.20130428

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目的　探讨旧金山晕厥规则对国内以晕厥就诊的急诊患者发生严重不良后果及需要住院治疗有无评估价值。方法　根据旧金山晕厥规则，将2009年1月1日－3月31日期间纳入的100例患者分为高危晕厥组（29例）和低危晕厥组（71例），比较两组患者入院情况，进而评估旧金山晕厥规则对晕厥患者是否需要入院和再入院情况有无预测价值。结果　高危组和低危组住院的患者分别为25例和40例，分别占所在组总人数的86.2%和56.3%，两组间差异有统计学意义（P=0.004）。结论　旧金山晕厥规则对急诊晕厥患者的快速评估和分流有一定的临床应用价值。

Citation： 夏义琴,张蜀,曹钰,胡海. 旧金山晕厥规则对急诊晕厥患者的评估价值. 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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旧金山晕厥规则对急诊晕厥患者的评估价值

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