摘要
目的 分析神经内科门诊以眩晕为主诉患者的常见病因，以减少临床误诊和漏诊。方法 连续收集367例以眩晕为主诉的门诊就诊患者，根据病史、临床症状和体征、相应的辅助检查结果，分析确定病因并随访观察。结果 367例患者的前5位病因依次为：良性阵发性位置性眩晕（BPPV）219例（59.7%），后循环缺血（PCI）65例（17.7%），偏头痛31例（8.4%），高血压病18例（4.9%），精神性眩晕17例（4.6%）。结论 BPPV是眩晕患者最常见的病因，应提高临床医师对BPPV和偏头痛所致头晕的认识，不能单凭辅助检查进行诊断，确诊主要结合临床表现及症状，详细询问病史，仔细进行神经系统检查和Dix-Hallpike等体位诱发试验。
Objective To explore the etiology of patients with chief complaint of vertigo in the department of neurology in order to reduce the rate of misdiagnosis. Methods A total of 367 patients with chief complaint of vertigo in our department of neurology were followed up. The associated medical history, symptoms and physical examination were obtained. Results The main diagnoses for the 367 patients were benign paroxysmal positional vertigo（BPPV）（219, 59.7%）,posterior circulation ischemia（PCI）（65, 17.7%）,migraine（31, 8.4%）,hypertension （18,4.9%）and psychogcnic vertigo（17,4.6%）. ConclusionsPresentation of vertigo can be clinically diagnosed in most diseases, with the most common cause of BPPV. Combination of the prominent clinical features, physical examinations and especially Dix-Hallpike maneuver may guide the general physicians to a most proper cause of vertigo.
出处
《中华内科杂志》
CAS
CSCD
北大核心
2012年第5期350-352,共3页
Chinese Journal of Internal Medicine
关键词
眩晕
偏头痛
病因
Vertigo
Migraine disorders
Etiology
