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中华脑血管病杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 510 -515. doi: 10.11817/j.issn.1673-9248.2024.05.018

综述

儿童坐位不耐受的临床进展
曹亚丽1,2,3, 高雨萌1, 张英谦2,3, 李博2,3, 杜军保1, 金红芳1,4,()   
  1. 1.100034 北京大学第一医院儿科
    2.050031 石家庄,河北省儿童医院心内科
    3.050031 石家庄,河北省小儿心血管重点实验室
    4.100191 北京,血管稳态与重构全国重点实验室
  • 收稿日期:2024-07-08 出版日期:2024-10-01
  • 通信作者: 金红芳
  • 基金资助:
    中央高水平医院临床科研资助项目(2024RC02)

Clinical progress of sitting intolerance in children

Yali Cao1,2,3, Yumeng Gao1, Yingqian Zhang2,3, Bo Li2,3, Junbao Du1, Hongfang Jin1,4,()   

  1. 1.Department of Pediatrics, Peking University First Hospital, Beijing 100034,China
    2.Department of Cardiology, Hebei Province Children's Hospital, Shijiazhuang 050031, China
    3.Hebei Key Laboratory of Pediatric cardiovascular disease, Shijiazhuang 050031, China
    4.Key Laboratory of Vascular Homeostasis and Remodeling, Beijing 100191, China
  • Received:2024-07-08 Published:2024-10-01
  • Corresponding author: Hongfang Jin
引用本文:

曹亚丽, 高雨萌, 张英谦, 李博, 杜军保, 金红芳. 儿童坐位不耐受的临床进展[J]. 中华脑血管病杂志(电子版), 2024, 18(05): 510-515.

Yali Cao, Yumeng Gao, Yingqian Zhang, Bo Li, Junbao Du, Hongfang Jin. Clinical progress of sitting intolerance in children[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(05): 510-515.

坐位不耐受是与体位改变相关的一组临床综合征,常于久坐或卧位转为坐位后出现,以头晕、头痛、视物模糊、心悸、胸闷等为主要表现,严重者甚至可以出现晕厥,其频繁发作会严重影响患儿的生活质量及身心健康。2020 年,儿童坐位不耐受的两种分型即坐位性心动过速综合征和坐位性高血压在国际上被首次提出。目前,对儿童坐位不耐受的认识和研究尚处于初级阶段。本文介绍了儿童坐位不耐受的分型诊断、可能的病理生理机制、危险因素、鉴别诊断及治疗,旨在提高广大医务工作者对儿童坐位不耐受的认识,引起大家对儿童坐位不耐受疾病更多的关注,提升儿童坐位不耐受疾病的诊疗水平。

Sitting intolerance is a group of clinical syndromes associated with postural change,particularly when transitioning from a supine to a sitting position or during periods of sedentary behavior.The main manifestations include dizziness, headache, blurred vision, palpitations, and chest tightness, with syncope potentially occurring in severe instances. Its frequent attacks will seriously affect the quality of life,and overall well-being of children. In 2020, the two types of children's sitting intolerance, sitting tachycardia syndrome and sitting hypertension, were proposed for the first time. Up to date, the understanding of sitting intolerance diseases in children has been still at the initial stage. This review has introduced the classification,diagnosis, possible pathophysiological mechanisms, risk factors, differential diagnosis, and treatment of sitting intolerance in children, aiming to improve the knowledge of sitting intolerance in children among pediatric healthcare professionals, arouse more attention to sitting intolerance in children, and improve the diagnosis and treatment of sitting intolerance.

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