中青年眩晕100例病因分析

PATHOGENIC ANALYSIS OF VERTIGO IN MIDDLE-AGE AND YOUNG PATIENTS.

目的:探讨中青年眩晕的病因学特点,对蟀晕的病因诊断、治疗和预防均具有重要意义.方法:回顾性选择我院2001年9月～2005年7月以眩晕就诊入院的100例中青年患者,对其病因、症状、体征及辅助检查进行临床分析.结果:中青年眩晕病因多种多样,以椎基底动脉供血不足最常见52例(52%),其中颈椎病(椎动脉型)30例,占第一位;其他依次为耳源性眩晕17例(17%),脑卒中15(15%),全身疾病性眩晕8例(8%),脑肿瘤3例(3%),颅内感染2例(2%),神经症2例(2%),病因未明1例(1%).结论:中青年眩晕病因复杂多样,可由多学科、多系统疾病引起,应根据完整有序的病史、仔细的体格检查和相关的辅助检查才能作出正确的病因诊断,尽早进行病因治疗.

Objective： To discuss the characteristics of vertigo in the middle- age the youth, which has a significance for the pathogenic diagnosis, treatment as well as prevention of vertigo. Methods： 100 patients were selected from September 2001 to July 2005 retrospectively who were main complained of vertigo in the inpatien department. Pathogenic diagnosis, clinical manifestations, laboratory findings of patients with vertigo were analyzed. Results： The vertigo in the middle- age and the youth had various causes. However, the most frequent cause was vertebra basilar insufficiency （VBI）, with 52 cases （52%）. Among these cases, the first was cervical spondylopathy. The others causes in turn were otitic- vertigo with the cases of 17 （17%）, stroke in 15 cases （ 15 % ）, systemic vertigo in 8 cases （8 % ）, intracranial tumor in 3 cases （3 % ） and 2 ease （2 % ） with intracranial inflammation, neurosis in 2 cases （2%） and uncertain causes in 1 case. Conclusion： The vertigo in the middle- age and the youth is complex and has various causes. It may be arose by multi- systemic disease. The correct pathogenic diagnosis could be made if it was based on a complete medical record, carefully physical examination and corresponding laboratory findings. Thus the pathogenic treatment would be made as soon as possible.