nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg searchdiv qikanlogo popupnotification paper
2015 03 v.28;No.235 53-56
头晕(眩晕)的病因诊断
基金项目(Foundation):
邮箱(Email):
DOI:
中文作者单位:

承德市中心医院神经内科;承德市中心医院急救中心;

摘要(Abstract):

<正>头晕(眩晕)是门急诊患者最常见的主诉。欧洲的一项研究报道,普通人群中有约30%的人有过中重度的头晕症状,其中25%为眩晕[1]。我国的研究报道,10岁以上人群眩晕症的总体患病率为4.1%,头晕(眩晕)是65岁以上人群就诊的主要原因[2]。头晕(眩晕)症状具有主观性和非特异性的特点,患者主观感觉表达不一,医生很难获得客观、有价值的信息。其病因可能涉及耳鼻咽喉科、神经

关键词(KeyWords): 头晕;;眩晕;;病因;;诊断
参考文献

[1]Neuhauser H K,von Brevern M,Radtke A,et al.Epidemiology of vestibular vertigo:a neurotologic survey of the general population[J].Neurology,2005,65(6):898-904.

[2]徐霞,卜行宽,邢光前,等.江苏省≥10岁人群的眩晕流行病学调查研究[J].中华耳科学杂志,2006,4(4):250-253.

[3]Drachman D A,Hart C W.An approach to the dizzy patient[J].Neurology,1972,22(4):323-334.

[4]Bisdorff A,Von Brevern M,Lempert T,et al.Classification of vestibular symptoms:towards an international classification of vestibular disorders[J].J Vestib Res,2009,19(1-2):1-13.

[5]Herr R D,Zun L,Mathews J J.A approach to the dizzy patient[J].Ann Emerg Med,1989,18(6):664-672.

[6]Karatas M.Central vertigo and dizziness:epidemiology,differential diagnosis,and common causes[J].Neurologist,2008,14(6):355-364.

[7]Riina N,Ilmari P,Kentala E.Vertigo and imbalance in children:a retrospective study in a Helsinki University otorhinolaryngology clinic[J].Arch Otolaryngol Head Neck Surg,2005,131(11):996-1000.

[8]邱峰,戚晓昆.神经内科门诊367例有眩晕主诉患者的病因分析[J].中华内科杂志,2012,51(5):350-352.

[9]Bath A P,Walsh R M,Ranalli P,et al.Experience from a multidisciplinary"dizzy"clinic[J].Am J Otol,2000,21(1):92-97.

[10]Kroanke K,Hoffman R M,Einstadter D.How common are various causes of dizziness?A critical review[J].South Med J,2000,93(2):160-167.

[11]Lawson J,Fitzgerald J,Birchall J,et al.Diagnosis of geriatric patients with severe dizziness[J].J Am GeriatrSoc,1999,47(1):12-17.

[12]Labuguen R H.Initial evaluation of vertigo[J].Am Fam Physician,2006,73(2):244-251.

[13]Halmagyi G M,Cremer P D.Assessment and treatment of dizziness[J].J Neurol Neurosurg Psychiatry,2000,68(2):129-134

[14]施国文,熊昕丽,林岩,等.后循环梗死的临床表现分析[J].中华内科杂志,2008,47(5):393-396.

[15]Kroenke K,Hoffman R M,Einstadter D.How common are various causes of dizziness?A critical review[J].South Med J,2000,93(2):160-167,168.

[16]Sloane P D,Coeytaux R R,Beck R S,et al.Dizziness:state of the science[J].Ann Intern Med,2001,134(9 Pt2):823-832.

[17]鲁厚年.自拟丹红汤治疗眩晕型颈椎病56例[J].中国临床医生杂志,2008,36(12):59.

[18]Sakaguchi M,Kitagawa K,Hougaku H,et al.Mechanical compression of the extracranial vertebral artery during neck rotation[J].Neurology,2003,61(6):845-847

[19]Adams K R,Yung M W,Lye M,et al.Are cervical spine radiographs of value in elderly patients with vertebrobasilar insufficiency?[J].Age and Ageing,1986,15(1):57-59.

[20]Brandt T,Bronstein A M.Cervical vertigo[J].J Neurol Neurosurg sychiatry,2001,71(1):8-12.

[21]Caplan L.Posterior circulation ischemia:then,now,and tomorrow The Thomas Willis Lecture-2000[J].Stroke,2000,31(8):2011-2023.

[22]Braun E M,Tomazic P V,Ropposch T,et al.Misdiagnosis of acute peripheral vestibulopathy in central nervous ischemic infarction[J].Otol Neurotol,2011,32(9):1518-1521.

[23]Balon R W.Vertebrobasilar insufficiency and stroke[J].Otolaryngol Head Neck Surg,1995,112(1):114-117.

[24]Moubayed S P,Saliba I.Vertebrobasilar insufficiency presenting as isolated positional vertigo or dizziness:a double-blind retrospective cohort study[J].Laryngoscope,2009,119(10):2071-2076.

[25]Chang C C,Chang W N,Huang C R,et al.The relationship between isolated dizziness/vertigo and the risk factors of ischemic stroke:A case control study[J].Acta Neurol Taiwan,2011,20(2):101-106.

[26]Kattah J C,Talkad A V,Wang D Z,et al.HINTS to Diagnose Stroke in the Acute Vestibular Syndrome:ThreeStep Bedside Oculomotor Examination More Sensitive Than Early MRI Diffusion-Weighted Imaging[J].Stroke,2009,40(11):3504-3510.

[27]田军如.血管源性眩晕[J].中国卒中杂志,2013(5):379-383.

[28]头晕诊断流程建议专家共识组.头晕的诊断流程建议[J].中华内科杂志,2009,48(5):435-437.

[29]Colledge N,Lewis S,Mead G,et al.Magnetic resonance brain imaging in people with dizziness:a comparison with non-dizzy people[J].J Neurol Neurosurg Psychiatry,2002,72(5):587-589.

[30]Hoffman R M,Einstadter D,Kroenke K.Evaluating dizziness[J].Am J Med,1999,107(5):468-478.

[31]Labuguen R H.Initial evaluation of vertigo[J].Am Fam Physician,2006,73(2):244-251,253.

基本信息:

DOI:

中图分类号:R441.2

引用信息:

[1]李勇,程瑞年.头晕(眩晕)的病因诊断[J].临床误诊误治,2015,28(03):53-56.

基金信息:

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文