晕厥的罕见原因

Ramón Maseda Uriza, Jesús Piqueras Flores, Pedro Pérez Díaz, Álvaro Moreno Reig
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引用次数: 0

摘要

目的探讨一种罕见的由大裂孔疝引起的左心房压迫致晕厥的病因。材料与方法对3例因与食物摄入有关的晕厥反复发作来我院就诊的患者进行描述。结论大裂孔疝患者的食物摄入可引起左心房受压引起的晕厥,其诊断可延迟归类为“情境性”或吞咽。经胸超声心动图和胸部计算机断层扫描对正确诊断至关重要。手术治疗裂孔疝后症状消失或通过减少进食量减轻。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Una causa rara de síncope

Objectives

To describe a rare cause of syncope whose mechanism is the compression of the left atrium caused by large hiatal hernia.

Material and method

Description of three patients visiting our hospital for repeat episodes of syncope in relation to food intake.

Conclusions

Food intake in patients with large hiatal hernia can cause syncope caused by compression of the left atrium whose diagnosis may be delayed to be classified as «situational» or swallowing. Transthoracic echocardiography and chest computed tomography were essential for correct diagnosis. Symptoms disappear with the surgical treatment of hiatal hernia or or alleviated by decreasing the volume of intake.

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