吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
19期
4224-4225
,共2页
眩晕%病因%后循环缺血%良性发作性位置性眩晕
眩暈%病因%後循環缺血%良性髮作性位置性眩暈
현훈%병인%후순배결혈%량성발작성위치성현훈
Vertigo%Causes of diease%PCI%BPPV
目的:探讨以眩晕为主诉患者的常见病因及分布特征。方法:入选200例以眩晕为主诉的患者,根据临床症状体征、Dix-Hallpike试验及头颅CT/MR、TCD等检查结果并分析病因。结果:在200例患者中良性发作性位置性眩晕86例(43%),后循环缺血(PCI)65例(32.5%),其中椎基底动脉系统TIA27例(13.5%),脑干梗死22例(11%),小脑梗死16例(8%),神经症22例(11%),梅尼埃病15例(7.5%),前庭神经元炎8例(4%),小脑出血3例(1.5%),病因不明确3例(1.5%)。结论:BPPV是眩晕最常见病因。患者发病年龄和持续时间可以作为眩晕鉴别诊断的参考指征。
目的:探討以眩暈為主訴患者的常見病因及分佈特徵。方法:入選200例以眩暈為主訴的患者,根據臨床癥狀體徵、Dix-Hallpike試驗及頭顱CT/MR、TCD等檢查結果併分析病因。結果:在200例患者中良性髮作性位置性眩暈86例(43%),後循環缺血(PCI)65例(32.5%),其中椎基底動脈繫統TIA27例(13.5%),腦榦梗死22例(11%),小腦梗死16例(8%),神經癥22例(11%),梅尼埃病15例(7.5%),前庭神經元炎8例(4%),小腦齣血3例(1.5%),病因不明確3例(1.5%)。結論:BPPV是眩暈最常見病因。患者髮病年齡和持續時間可以作為眩暈鑒彆診斷的參攷指徵。
목적:탐토이현훈위주소환자적상견병인급분포특정。방법:입선200례이현훈위주소적환자,근거림상증상체정、Dix-Hallpike시험급두로CT/MR、TCD등검사결과병분석병인。결과:재200례환자중량성발작성위치성현훈86례(43%),후순배결혈(PCI)65례(32.5%),기중추기저동맥계통TIA27례(13.5%),뇌간경사22례(11%),소뇌경사16례(8%),신경증22례(11%),매니애병15례(7.5%),전정신경원염8례(4%),소뇌출혈3례(1.5%),병인불명학3례(1.5%)。결론:BPPV시현훈최상견병인。환자발병년령화지속시간가이작위현훈감별진단적삼고지정。
Objective To discuss the causes of diseases presenting vertigo as a chief complaint in patients in department of neurolo-gy. Method 200 patients with a chief complaint of vertigo were followed up in the department of neurology. Physical examinations with spe-cial attention to neurologic systems and Dix-Hallpike maneuver were performed. Based on the history,the physical examination,Dix -Hallpike maneuver and special techniques,the diagnoses of 200 patients with vertigo was made. then obtained the thorough history,especial-ly the timing and duration of vertigo. Results The main diagnoses for these patients were BPPV( 43%),PCI( 32. 5%),neurosis( 11%), Meniere′s disease(7. 5%),vestibularneuronitis(4%),cerebellar hemorrhage(1. 5%),Such clinical features of the diseases with vertigo, as age,vertigo duration,and provoking fators,associated sympotoms,risk factors,the physical examinations,the treatment and so on were summed up. Conclusion Presentations of vertigo can be clinically diagnosed in most cases,with a larger number of patients suffering from BPPV. Age and duration of vertigo were important for diagnosis of vertigo.