与眩晕相关的临床误诊分析

Misdiagnosis Related to Vertigo

目的分析眩晕误诊患者的相关临床资料,以期提高临床医师对眩晕的认识水平,提高眩晕的诊断正确率。方法利用河南大学淮河医院2010年至今收治的12例眩晕误诊患者,参考国内外文献以系统回顾的方法分析该病的误诊原因。结果眩晕容易误诊为椎基底动脉系统短暂性脑缺血发作,12例眩晕患者最后确诊为良性发作性位置性眩晕6例、梅尼埃病1例、前庭神经元炎1例、癫痫2例、偏头痛1例。结论病史采集不详细、临床思维局限、辅助检查受限等因素与眩晕的误诊有关。

Objective To analyze the clinical data of misdiagnosis related to Vertigo as to improve the areness level of clinical doctors and the rate of correct diagnosis of Vertigo. Methods Twelve misdiagnosed patients were screened out from Huaihe hospital to analyze the reason of misdiagnosis of Vertigo with references at home and abroad. Results Vertigo can easily be misdiagnosed as transient ischemic attack of vertebrobasilar system. It was the finally diagnosis that six cases of benign paroxysmal positional vertigo, lease of Meniere＇s disease, 1 case of vestibular neuronitis ,2 cases of epilepsy, 1 ease of migraine. Conclusion Not detailed history collection ,clinical way of thinking, limited laboratory examinations and other factors relevant to the misdiagnosis of vertigo.