眩晕症72例诊治分析

Analysis of the diagnosis and treatment on 72 patients with vertigo

目的了解眩晕症的临床特点、诊断,分析误诊原因,提出预防措施。方法对我院2009-03—2013-03收治的72例眩晕症患者临床资料进行回顾性分析。结果本组眩晕症病因:心源性26例(急性心肌死梗13例,Q-T间期延长综合征4例,重度房室传导阻滞3例,阵发性室速3例,尖端扭转型室速3例),颈性眩晕28例,急性脑梗死18例。经相应治疗痊愈71例,死亡1例(1.4%)。结论眩晕症的正确诊断借助于详尽的病史、系统体检,必要的医技检查(心电图、血清心肌酶测定、头颅CT、颈椎X线片或CT、MR),提高认识、做好鉴别诊断。

Objective To analyze the clinical features,diagnosis and misdiagnosis reasons of vertigo,measures will be proposed to prevent from misdiagnosing.Methods Retrospective analysis on clinical data of 72 patients with vertigo was taken,who were admitted in our hospital from March 2009 to March 2013.Results Pathogenesis of vertigo patients involved in this group could boil down to the following points,firstly,26 cases of cardiogenic vertigo（including 13 cases of acute myocardial infarction,4cases of long Q-T syndrome,3cases of advanced A-V block,3cases of paroxysmal ventricular tachycardia and 3cases of torsade de pointes）,secondly,cervical vertigo,thirdly,acute cerebral infarction.After corresponding treatments,71 patients were cured,1patient died（1.4percents）.Conclusion In order to diagnose vertigo correctly,detailed clinical history and systematic physical examination should be taken,as well as necessary laboratory examination and instrumental checks（electrocardiogram,serum myocardial enzyme test,skull CT scanning,X-ray films or CT or magnetic resonance on cervical vertebral）,which were helpful to deepen the understanding of the clinical symptom and make differential diagnosis.