中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
19期
28-28,29
,共2页
耿利娇%常俊锴%陈勇%贺维亚
耿利嬌%常俊鍇%陳勇%賀維亞
경리교%상준개%진용%하유아
眩晕%缺血性脑血管病%癫痫%误诊
眩暈%缺血性腦血管病%癲癇%誤診
현훈%결혈성뇌혈관병%전간%오진
Vertigo%Ischemiccerebrovascular disease%Epilepsy%Misdiagnosis
目的分析眩晕误诊患者的相关临床资料,以期提高临床医师对眩晕的认识水平,提高眩晕的诊断正确率。方法利用河南大学淮河医院2010年至今收治的12例眩晕误诊患者,参考国内外文献以系统回顾的方法分析该病的误诊原因。结果眩晕容易误诊为椎基底动脉系统短暂性脑缺血发作,12例眩晕患者最后确诊为良性发作性位置性眩晕6例、梅尼埃病1例、前庭神经元炎1例、癫痫2例、偏头痛1例。结论病史采集不详细、临床思维局限、辅助检查受限等因素与眩晕的误诊有关。
目的分析眩暈誤診患者的相關臨床資料,以期提高臨床醫師對眩暈的認識水平,提高眩暈的診斷正確率。方法利用河南大學淮河醫院2010年至今收治的12例眩暈誤診患者,參攷國內外文獻以繫統迴顧的方法分析該病的誤診原因。結果眩暈容易誤診為椎基底動脈繫統短暫性腦缺血髮作,12例眩暈患者最後確診為良性髮作性位置性眩暈6例、梅尼埃病1例、前庭神經元炎1例、癲癇2例、偏頭痛1例。結論病史採集不詳細、臨床思維跼限、輔助檢查受限等因素與眩暈的誤診有關。
목적분석현훈오진환자적상관림상자료,이기제고림상의사대현훈적인식수평,제고현훈적진단정학솔。방법이용하남대학회하의원2010년지금수치적12례현훈오진환자,삼고국내외문헌이계통회고적방법분석해병적오진원인。결과현훈용역오진위추기저동맥계통단잠성뇌결혈발작,12례현훈환자최후학진위량성발작성위치성현훈6례、매니애병1례、전정신경원염1례、전간2례、편두통1례。결론병사채집불상세、림상사유국한、보조검사수한등인소여현훈적오진유관。
Objective To analyze the clinical data of misdiagnosis related to Vertigo as to improve the areness level of clinical doctors and the rate of correct diagnosis of Vertigo. Methods Twelve misdiagnosed patients were screened out from Huaihe hospital to analyze the reason of misdiagnosis of Vertigo with references at home and abroad . Results Vertigo can easily be misdiagnosed as transient ischemic attack of vertebrobasilar system. It was the finally diagnosis that six cases of benign paroxysmal positional vertigo, 1case of Meniere's disease , 1 case of vestibular neuronitis ,2 cases of epilepsy, 1 case of migraine. Conclusion Not deta iled history collection ,clinical way of thinking, limited laboratory examinations and other factors relevant to the misdiagnosis of vertigo.