兒童的血管迷走神經性暈厥發生率之研究

Investigation on the Incidence of Vasovagal Syncope of Children

陳弘森(Horng-Sen Chen) ； 黃純德(Shun-Te Huang) ； 廖秀釧(Shiow-Chuann Liao) ； 游淑儀(Su-I You)

《臺灣齒科醫學會雜誌》 10卷1期 (1987/05) Pp. 232-235

摘要

血管迷走神經性暈厥(vasovagal syn∞pe)通常由於情緒緊張,疼痛或不安等因素影響,因血管擴張造成腦部缺氧所致。 本研究以高雄醫學院見童牙科門診患者3~~15歲為研究對象。共實施1256次局部麻醉,觀察兒童發生血管迷走神經性暈厥之情形。結果顯示發生率為0.0% ,也無引起早期暈厥(presyncope )之現象發生。 雖然如此,但對於暈厥及其他拼發症應做好鑑別診斷與預防處置。萬一發生血管迷走神經性暈厥時,則處理原則如下: ( 1 )迅將患者平躺,腳部稍微抬高。(2)保持患者呼吸道的暢通,必要時給予100%的純氧, (3)使用監測器(monitor)監測患者呼吸、脈搏、血壓等生命徵候, (4)牙醫師本身應保持鎮靜, (5)追綜處置(follow-up treatment)預防其他併發症發生,以確保患者生命之安全。

並列摘要

One thousand two hundred and fifty six dental injections with local anesthesia were performed in children of ages ranged from 3 to 15 years old and the incidence of vasovagal syncope was investigated during routine dental treatment. The results of this study reveal that no incidence of vasovagal syncope has occurred, though cases of the incidence have been reported in some other previous practices. However, in case of the incidence of such a phenomenum, the dental procedure should be tenninated and the following measures must be taken immediately: l) To place the patient in a supine position with feet slightly elevated, 2) To establish functioning airway for the patient. 3) Vital signs should be monitored, 4) To stay calm, and 5)To perform a follow-up treatment.

並列關鍵字

vasovagal syncope ； syncpoe ； local anesthesia ； vasodepressor syncope