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我们观察了难以控制的头颈部癌瘤且有颈淋巴转移的患者,可随着脉搏减弱、血压颈内动脉始端,稍膨大处为颈动脉窦,窦壁具有调节循环机能的感觉神经分支(主要为舌咽神经分支)。1933年Weiss和Baker对有颈淋巴转移患者引起精神不佳、眼前发黑、意识丧失的CSHS分为三型:(1)心动抑制型;(2)血管扩张型;(3)中枢型。多数情况为一、二型的混合型。据文献下降引起一过性的意识丧失,即颈动脉窦综合征(简称CSHS)。本征为颈动脉窦受刺激而引起的症状,治疗晚期癌患者应充分予以注意。
We observed that patients with uncontrollable head and neck cancers with cervical lymph node metastases can have a branch of sensory nerves that regulates circulatory function as the pulse weakens, blood pressure begins at the beginning of the internal carotid artery, and the carotid sinus expands slightly. The main branch of the glossopharyngeal nerve). In 1933, Weiss and Baker classified the three types of CSHS in patients with cervical lymph node metastases as poor mentality, dark eyes, and loss of consciousness: (1) cardiac arrest type; (2) vasodilator type; (3) central type. Most of the cases are mixed types of the first and second types. According to a decline in the literature, a transient loss of consciousness, the carotid sinus syndrome (CSHS), has been reported. Intrinsic symptoms are caused by stimulation of the carotid sinus. Attention should be given to patients with advanced cancer.