中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
10期
187-189
,共3页
孤立性眩晕%临床特点%脑血管造影
孤立性眩暈%臨床特點%腦血管造影
고립성현훈%림상특점%뇌혈관조영
Isolated vertigo%Clinical characteristics%Cerebral angiography
目的：分析孤立性眩晕患者临床特点和脑血管造影表现。方法回顾性分析48例完成脑血管造影孤立性眩晕患者的临床资料。结果临床表现48例患者中，均出现眩晕症状，伴有恶心、呕吐12例，占25%，大汗6例，占12.5%，耳鸣2例，占4.2%，耳聋1例，占2.1%，视物模糊2例，占4.2%，凝视震颤12例，占25%，眼轴偏斜9例，占18.8%。脑血管造影发现椎动脉起始部狭窄6例，椎动脉起始部迂曲6例，椎动脉先天发良不良5例，一侧椎动脉闭塞1例，基底动脉狭窄5例，基底动脉扩张延长1例，头臂干或锁骨下动脉狭窄4例，颈动脉狭窄6例。后循环动脉共检出血管病灶部位28个，检出血管病灶阳性率为58.3%。结论对于反复发作的孤立性眩晕，有临床体征如凝视眼震、眼偏斜试验任何一项阳性，或者存在多重血管性危险因素的患者，尤其老年患者，应及早行脑血管造影，有助于提高血管源性眩晕诊断率，并给予针对性治疗，改善眩晕症状，降低脑卒中的发生率。
目的：分析孤立性眩暈患者臨床特點和腦血管造影錶現。方法迴顧性分析48例完成腦血管造影孤立性眩暈患者的臨床資料。結果臨床錶現48例患者中，均齣現眩暈癥狀，伴有噁心、嘔吐12例，佔25%，大汗6例，佔12.5%，耳鳴2例，佔4.2%，耳聾1例，佔2.1%，視物模糊2例，佔4.2%，凝視震顫12例，佔25%，眼軸偏斜9例，佔18.8%。腦血管造影髮現椎動脈起始部狹窄6例，椎動脈起始部迂麯6例，椎動脈先天髮良不良5例，一側椎動脈閉塞1例，基底動脈狹窄5例，基底動脈擴張延長1例，頭臂榦或鎖骨下動脈狹窄4例，頸動脈狹窄6例。後循環動脈共檢齣血管病竈部位28箇，檢齣血管病竈暘性率為58.3%。結論對于反複髮作的孤立性眩暈，有臨床體徵如凝視眼震、眼偏斜試驗任何一項暘性，或者存在多重血管性危險因素的患者，尤其老年患者，應及早行腦血管造影，有助于提高血管源性眩暈診斷率，併給予針對性治療，改善眩暈癥狀，降低腦卒中的髮生率。
목적：분석고립성현훈환자림상특점화뇌혈관조영표현。방법회고성분석48례완성뇌혈관조영고립성현훈환자적림상자료。결과림상표현48례환자중，균출현현훈증상，반유악심、구토12례，점25%，대한6례，점12.5%，이명2례，점4.2%，이롱1례，점2.1%，시물모호2례，점4.2%，응시진전12례，점25%，안축편사9례，점18.8%。뇌혈관조영발현추동맥기시부협착6례，추동맥기시부우곡6례，추동맥선천발량불량5례，일측추동맥폐새1례，기저동맥협착5례，기저동맥확장연장1례，두비간혹쇄골하동맥협착4례，경동맥협착6례。후순배동맥공검출혈관병조부위28개，검출혈관병조양성솔위58.3%。결론대우반복발작적고립성현훈，유림상체정여응시안진、안편사시험임하일항양성，혹자존재다중혈관성위험인소적환자，우기노년환자，응급조행뇌혈관조영，유조우제고혈관원성현훈진단솔，병급여침대성치료，개선현훈증상，강저뇌졸중적발생솔。
ObjectiveTo analyze the clinical characteristics and cerebral angiography of the patients with isolated vertigo. Methods Clinical data of 48 patients with isolated vertigo who received cerebral angiography were analyzed retrospectively.Results All 48 patients showed vertigo clinically. Among them, 12 patients showed nausea and vomit, accounting for 25%; 6 patients profuse sweating, 12.5%; 2 tinnitus, 4.2%; 1 deafness, 2.1%; 2 blurred vision, 4.2%; 12 fixation nystagmus, 25%; 9 eye axis deflection, 18.8%. Through cerebral angiography, 6 patients were diagnosed with vertebral artery stenosis; 6 vertebral artery coiling; 5 vertebral artery developmental anomaly; 1 unilateral vertebral artery occlusion; 5 basilar artery stenosis; 1 vertebrobasilar dolichoectasia; 4 brachiocephalic trunk and subclavian artery stenosis; 6 carotid artery stenosis. 28 vascular lesions were detected in posterior circulation artery, and the positive rate was 58.3%.Conclusion For patients with recurrent isolated vertigo, patients with any positive clinical symptoms like fixation nystagmus and eye deflection, or patients with multiple vascular risks, especially for elderly patients, cerebral angiography should be carried out for them as soon as possible. This will be helpful for improving the diagnostic rate of vasogenic vertigo and providing symptom-oriented treatment, so as to alleviate vertigo and lower the incidence of cereal apoplexy.
