120例眩晕患者的临床分析  

Clinical Analysis of 120 Patients with a Complaint of Vertigo

作　　者：胡成伍[1] 鄢圣娟 田亮[1] 黄显雄[1] 吴家幂[2] 

机构地区：[1]湖北省潜江市中心医院神经科,433100 [2]皖南医学院弋矶山医院神经科,安徽省芜湖市241000

出　　处：《中华全科医学》2013年第10期1553-1554,共2页Chinese Journal of General Practice

摘　　要：目的分析眩晕患者的常见病因及临床特点。方法神经科住院的眩晕患者120例,根据临床症状和体征、Dix-Hallpike试验及CT、TCD等辅助检查结果,确定病因并随访观察。结果本组120例患者临床诊断及其病因构成比依次为:良性阵发性位置性眩晕(BPPV)73例(60.83%),神经症17例(14.17%),良性阵发性位置性眩晕合并神经症8例(6.67%),后循环缺血(PCI)4例(3.33%),偏头痛性眩晕4例(3.33%),小脑出血3例(2.50%),多发性硬化2例(1.67%),蛛网膜下腔出血2例(1.67%),病因不明7例(5.83%)。结论 BPPV是眩晕患者最常见的病因,大多数以眩晕为主要特点的疾病都具有特征性的症状,这对提示疾病诊断具有重要的意义。Objective To analyze the etiology and clinical features of vertigo. Methods A total of 120 patients with a complaint of vertigo in the Department of Neurology were retrospectively studied. Their etiology was analyzed by the clinical symptoms and signs, Dix-Hallpike test, CT,TCD and other auxiliary examination. Results The etiology of 120 patients were benign parox- ysmal positional vertigo（ BPPV,60.83% ）, neurosis （14.17%）, benign paroxysmal positional vertigo complicated with neurosis （6.67%）, posterior circulation ischemia （ PCJ, 3.33% ）, migraine combining with vertigo （ 3.33% ）, cerebellar hemorrhage （2.50%）, multiple sclerosis （ 1.67% ）, subarachnoid hemorrhage（ 1.67% ）, and unknown etiology （ 5.83% ）. Conclusion BP- PV is the most common cause of vertigo, other diseases which can cause vertigo often have the main characteristic symptoms.

关 键 词：眩晕 良性阵发性位置性眩晕 Dix—Hallpike试验 

分 类 号：R441.2[医药卫生—诊断学]