急诊眩晕患者120例临床分析

Clinical Analysis of 120 Patients of Vertigo for Emergency

目的:探讨急诊眩晕患者的发病特点和病因诊断。方法:回顾性分析120例急诊眩晕患者两个年龄组(老年组和非老年组)的临床资料。结果:120例急诊眩晕患者的前3位病因依次为椎基底动脉供血不足62例(51.7%)、耳源性眩晕33例(27.5%)和脑卒中18例(15.0%)。老年组前3位病因依次为颈椎病18例(15.0%)、良性阵发性位置性眩晕14例(11.7%)和高血压11例(9.2%);非老年组依次为颈椎病17例(14.2%)、梅尼埃病7例(5.8%)和高血压5例(4.2%)。结论:急诊眩晕两个年龄组均可发病,病因复杂多样,不乏危重症和少见病,应尽快明确诊断。

Objective To discuss the the pathogenic characterics and aetiological dignosis of vertigo for emergency. Methods The clinical data of two groups （elderly; non-elderly ）of 120 patients with acute vertigo were retrospectively analysed. Results Of 120 patients,the 3 main etiological factors were vertebrobasilar insufficiency with 62 cases（51.7%）,oticodinosis with 33 cases （27.5%） and stroke with 18 cases（15%）. In elderly groups, the 3 main causes were cervical spondylosis with 18 cases（15.0%）, benign paroxysmal positional vertigo with 14 cases（11.7%） and hypertension with 11 cases （9.2%）. In non-elderly groups, the 3 main causes were cervical spondylosis with 17 cases （14.2%）, Meniere＇s disease with 7 cases（5.8%） and hypertension with 5 cases（4.2%）. Conclusion Two age groups are subject to acute vertigo. Its pathogency is complex and various. There are no lack of critical case and uncommon disease among the patients. A definitive diagnosis should be established as soon as possible.