CAJ | 학술논문

目的：探讨急诊眩晕患者的临床特征和病因。方法针对2013年1月～2013年12月以眩晕为主要表现就诊于我院急诊的813例患者，回顾性分析其临床症状、体征、临床检验资料及影像学辅助检查。结果眩晕病因复杂，老年组前3位病因依次为后循环缺血337例（41.5%）、脑卒中83例（10.2%）和良性阵发性位置性眩晕42例（5.2%）；非老年组依次为良性阵发性位置性眩晕126例（15.5%）、后循环缺血87例（10.7%）和美尼尔氏综合征71例（8.7%）。结论眩晕临床表现多样，病因众多，可由多学科、多系统疾病引起，需详细分析病史、体格检查及辅助检查才能尽早做出正确的临床诊断。
목적：탐토급진현훈환자적림상특정화병인。방법침대2013년1월～2013년12월이현훈위주요표현취진우아원급진적813례환자，회고성분석기림상증상、체정、림상검험자료급영상학보조검사。결과현훈병인복잡，노년조전3위병인의차위후순배결혈337례（41.5%）、뇌졸중83례（10.2%）화량성진발성위치성현훈42례（5.2%）；비노년조의차위량성진발성위치성현훈126례（15.5%）、후순배결혈87례（10.7%）화미니이씨종합정71례（8.7%）。결론현훈림상표현다양，병인음다，가유다학과、다계통질병인기，수상세분석병사、체격검사급보조검사재능진조주출정학적림상진단。
Objective To investigate the pathogenesis and diagnosis of the patients with vertigo in emergency department.MethodsRetrospective analyzed 813 patients with vertigo from January 2013 to December 2013 in our hospital emergency department. ResultsThe top 3 pathogenic causes in elder group were posterior circulation ischemia with 337 (41.5%), stroke with 83 (10.2%) benign paroxysmal positional vertigo with 42 (5.2%). In contrast, the top 3 causes in the non-elder-group were benign paroxysmal positional vertigo with 126 (15.5%), posterior circulation ischemia with 87 (10.7%) and Meniere’s disease with 71 (8.7%).Conclusion Clinical manifestations of vertigo diverse, and can be caused by multisystem diseases, the emergency doctors should analyze the history, physical examination and auxiliary examination in order to make a correct diagnosis as soon as possible.