中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
19期
44-45
,共2页
良性阵发性位置性眩晕%误诊%疗效
良性陣髮性位置性眩暈%誤診%療效
량성진발성위치성현훈%오진%료효
Benign paroxysmal positional vertigo%Misdiagnosis%Curative effect
目的：探讨48例良性阵发性位置性眩晕患者的临床误诊原因及确诊后治疗方法及疗效。方法对48例误诊患者诊治过程进行回顾性分析。结果48例患者入院时误诊为后循环缺血性眩晕28例、梅尼埃病8例、高血压病5例、颈性眩晕5例、脑梗死2例；后确诊为后半规管BPPV 39例，外半规管BPPV 9例；所有误诊病例确诊后予手法复位均痊愈。结论凡是与头位变动相关且持续时间短的眩晕发作，应行Dix-hallpike试验及平卧侧头诱发试验以避免误诊；明确诊断后予行手法复位，疗效明确。
目的：探討48例良性陣髮性位置性眩暈患者的臨床誤診原因及確診後治療方法及療效。方法對48例誤診患者診治過程進行迴顧性分析。結果48例患者入院時誤診為後循環缺血性眩暈28例、梅尼埃病8例、高血壓病5例、頸性眩暈5例、腦梗死2例；後確診為後半規管BPPV 39例，外半規管BPPV 9例；所有誤診病例確診後予手法複位均痊愈。結論凡是與頭位變動相關且持續時間短的眩暈髮作，應行Dix-hallpike試驗及平臥側頭誘髮試驗以避免誤診；明確診斷後予行手法複位，療效明確。
목적：탐토48례량성진발성위치성현훈환자적림상오진원인급학진후치료방법급료효。방법대48례오진환자진치과정진행회고성분석。결과48례환자입원시오진위후순배결혈성현훈28례、매니애병8례、고혈압병5례、경성현훈5례、뇌경사2례；후학진위후반규관BPPV 39례，외반규관BPPV 9례；소유오진병례학진후여수법복위균전유。결론범시여두위변동상관차지속시간단적현훈발작，응행Dix-hallpike시험급평와측두유발시험이피면오진；명학진단후여행수법복위，료효명학。
Objective To investigate clinical misdiagnosis reasons, curative method and effect of 48 patients with benign paroxysmal positional vertigo.Methods The process of diagnosis and treatment were retrospectively analyzed for the 48 patients.Results All 28 patients were misdiagnosed for posterior circulation ischemia vertigo, 8 cases for Meynier's disease, 5 cases for hypertension, 5 cases for cervical vertigo, 2 cases for cerebral infarction; later 39 cases were diagnosed for posterior semicircular canal BPPV, 9 cases were diagnosed for lateral semicircular canal BPPV; all misdiagnosed cases were recovered by giving manipulative reduction after definite diagnosis.ConclusionUsually when patients have vertigo associated with head movements and short duration, Dix-hallpike test and supine side head evoked tests should be performed in order to avoid misdiagnosis. Curative effect of giving manipulative reduction after definite diagnosis is clear.
