9 Feb 2020

병적기절(병적 실신), Pathologic fainting (Pathologic syncope)

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병적기절(병적 실신), Pathologic fainting (Pathologic syncope)

 

  • 심장질환, 혈관질환, 감염병, 또는 신경계 질환 등으로 단순기절과 비슷하게 실신할 수 있고 의식을 잃을 수 있다. 
  • 그외 호흡정지 발작, 과 호흡증, 습관성 약물 남용, 독극물질 중독, 신진대사 이상 등으로도  병적기절을 할 수 있다. 
  • 이렇게 어떤 원인으로 인해 생긴 기절은 단순기절이라고 하지 않는다. 어떤 1차 병으로나 어떤 원인으로 인해 생긴 기절을 병적 실신 또는 병적기절이라고 한다.
  • 기절을 하면 이 두 종류의 기절을 서로 감별 진단해야 한다. 그러나 때로는 이 두 종류의 기절을 쉽게 감별할 수 없다.
  • 그외, 히스테리(전환 장애/전환 히스테리), 정신 정서적 문제, 기침, 빈혈 등으로 기절이 유발 될 수 있다. 
  • 이런 종류의 기절은 단순기절이라 하지 않고 병적기절 또는 병적 실신이라 한다. 
  • 이뇨제, 베타 차단제(Beta-block agents)로 치료 받을 때 병적 기절이 생길 수 있다. 
  • 저혈당증, 경련, 뇌졸증(Stroke), 편두통 등으로 병적기절이 유발될 수 있다. 이런 기절은 비 심장 혈관계성 기절에 속한다. 소스; Contemporary pediatrics, August 2008. p.29

Pathologic fainting (Pathologic syncope)

  • Heart disease, vascular disease, infectious disease, or nervous system disease can cause fainting and loss of consciousness similar to simple fainting.
  • In addition, respiratory arrest, seizures, hyperventilation, habitual drug abuse, poisoning with toxic substances, and metabolic abnormalities can cause pathological fainting.
  • The fainting caused by such a cause is not called simple fainting.
  • Fainting caused by any primary illness or cause is called pathological fainting or morbid fainting.
  • If your child passes out, you must differentiate between these two types of fainting. However, sometimes these two types of fainting cannot be easily distinguished.
  • In addition, fainting can be caused by hysteria (conversion disorder/conversion hysteria), psycho-emotional problems, coughing, and anemia.
  • This kind of fainting is not referred to as simple fainting but rather referred to as pathological fainting or morbid fainting.
  • Pathological fainting can occur when treated with diuretics and beta-block agents. Pathological fainting can be caused by hypoglycemia, convulsions, stroke, and migraines.
  • Such fainting belongs to non-cardiovascular fainting.

     sauce; Contemporary pediatrics, August 2008. p.29

출처 및 참조 문헌 Sources and references

  • NelsonTextbook of Pediatrics 22ND Ed
  • The Harriet Lane Handbook 22ND Ed
  • Growth and development of the children
  • Red Book 32nd Ed 2021-2024
  • Neonatal Resuscitation, American Academy Pediatrics
  • Childhood Emergencies in the Office, Hospital and Community, American Academy of Pediatrics
  • Emergency Medical Service for Children, By Ross Lab. May 1989. p.10
  • Emergency care, Harvey grant, and Robert Murray
  • Emergency Care Transportation of Sick and Injured American Academy of Orthopaedic Surgeons
  • Emergency Pediatrics A Guide to Ambulatory Care, Roger M. Barkin, Peter Rosen
  • Immediate care of the acutely ill and injured, Hugh E. Stephenson, Jr
  • The Critically Ill Child, Diagnosis and Management, Edited by Clement A. Smith
  • Emergency Medical Services for Children: The Role of the Primary Care Provider, America Academy of Pediatrics
  • Quick Reference To Pediatric Emergencies, Delmer J. Pascoe, M.D., Moses Grossman, M.D. with 26 contributors
  • Manual of Emergency Care 응급환자관리 정담미디어
  • 소아가정간호백과–부모도 반의사가 되어야 한다, 이상원
  • Neonatal Resuscitation American heart Association
  • Neonatology Jeffrey J.Pomerance, C. Joan Richardson
  • Pediatric Resuscitation Pediatric Clinics of North America, Stephen M. Schexnayder, M.D.
  • Pediatric Critical Care, Pediatric Clinics of North America, James P. Orlowski, M.D.
  • Preparation for Birth. Beverly Savage and Dianna Smith
  • Nelson Textbook of Pediatrics 14th ed. Beherman,
  • The Johns Hopkins Hospital, The Harriet Lane Handbook, 18th edition
  • Red book 29th-31st edition 2021
  • Nelson Text Book of Pediatrics 19th-21st  Edition
  • Infectious disease of children, Saul Krugman, Samuel L Katz, Ann A. Gershon, Catherine Wilfert
  • The Harriet Lane Handbook 19th Edition
  • 소아과학 대한교과서
  • 제1권 소아청소년 응급의료 참조문헌과 출처
  • Other