头晕待查:一例脊髓型颈椎病的全科诊疗体会  

Dizziness to Be Investigated:an Experience of the Diagnosis and Treatment of Cervical Spondylotic Myelopathy

作　　者：傅劲超 任文[1] 任菁菁[1] FU Jinchao;REN Wen;REN Jingjing(Department of General Practice,the First Affiliated Hospital,College of Medicine,Zhejiang University,Hangzhou 310003,China)

机构地区：[1]浙江大学医学院附属第一医院全科医学科,浙江省杭州市310003

出　　处：《中国全科医学》2020年第12期1552-1555,共4页Chinese General Practice

摘　　要：颈椎病是全科门诊的常见病之一,随着生活方式的变化,颈椎病的发病率逐年增长,并呈年轻化趋势。本文报道了1例严重的脊髓型颈椎病(CSM)患者,通过全科医师RICE问诊、体格检查及影像学检查,明确了疾病的诊断,再由骨科专家进行会诊,制定了以手术为主的治疗方案,最后经过住院治疗及门诊随访,该患者得到康复。本文总结了CSM的诊断要点,让更多全科医师能在第一时间明确该疾病的诊断,从而使更多CSM患者能够早治疗、早康复。Cervical spondylosis is one of the common diseases at general practice clinics.With the change of lifestyles,the incidence of cervical spondylosis has been on the rise and there are more and more young patients.This article touched upon a case of a patient with severe cervical spondylotic myelopathy(CSM).Based on the RICE inquiry of general practitioners,medical check-up and imaging examination,the diagnosis of the disease was clarified.Then orthopaedic specialists completed a consultation session to determine a therapeutic regimen mainly based on surgery.Lastly,the patient recovered after hospitalization and clinical follow-up.By summarizing the key diagnostic points of CSM,more general practitioners can instantly diagnose diseases at the first time,so that more CSM patients can receive proper treatment,and rehabilitation early.

关 键 词：颈椎 颈椎病 全科医学 全科医生 RICE问诊 转诊 

分 类 号：R682.12[医药卫生—骨科学]