摘要
目的:分析神经科患者以眩晕为主诉的常见病因,以及以眩晕为主诉的常见疾病的临床特征。方法:320例患者均为同一时期门诊及住院患者(门诊161例,住院159例),根据临床特点结合辅助检查,包括CT、TCD检查,Dix-Hallpike试验,分析确定眩晕病因。结果:320例眩晕患者病因:良性阵发性位置性眩晕(BP-PV)158例(49.37%),后循环缺血(PCI)107例(33.44%),神经症19例(5.94%),维生素B12缺乏10例(3.13%),其它26例(8.12%)。结论:BPPV是眩晕患者常见病因;在眩晕病因的诊断中,TCD检查基底动脉血流速度缺乏特异性;年龄、眩晕持续的时间等特征可以做为眩晕病因诊断的重要指标。
Objective：To analyze the pathogeny of vertigo patients and the characteristics of the diseases. Methods： 320 vertigo patients （161,159） in our hospital, were examined with CT, TCD examination, and Dix-Hallpike tests to analyz the causes. Results： In 320 cases with vertigo, 158 cases （49.37 %） caught benign paroxysmal positional vertigo（BPPV）, 107 cases（33.44%）were posterior circulation ischemia（PCI）, 19 cases （5. 94%） had neurosis,10 cases（3.13%） had got VB12 deficiency,26 cases（8. 12%） had other disease. Conclusion：The most normal cause for vertigo is BPPV. TCD can test the blood flow velocity of basilar artery, but lack of specificity. Age and duration of vertigo were important for diagnosis of vertigo.
出处
《河北北方学院学报（医学版）》
2009年第1期45-46,共2页
Journal of Hebei North University:Medical Edition
关键词
眩晕
脑梗塞
脑出血
Vertigo, Brain Infarction, Cerebral Hemorrhage
