马绍昌

[摘要] 目的 探讨急性眩晕急诊科病因及诊断。 方法 整群选择于2013年3月—2014年5月来该院接受治疗的284例急性眩晕患者为研究对象，对其进行明确诊断，主要检测患者的血常规、尿常规，以及患者的血糖和血脂的指数， 此外还要对患者进行心电图、颈椎X射线、颈部血管多普勒、颅内血管多普勒、核磁共振等的检查，并将诊断结果进行统计。患者在接受病情诊断之后，3个月后，进行回顾性的病情分析。 结果 284例急性眩晕患者椎基底动脉供血不足150例，耳源性眩晕52例，脑梗死43例，癫痫性眩晕20例，功能性眩晕15例，其它4例；其中椎基底动脉供血不足是各年龄层导致眩晕的最常见病因。 结论 治疗急性眩晕症患者，必须要进行对症处理，减轻患者的眩晕状况，最终做出病因的诊。

[关键词] 急性眩晕；病因诊治；临床体会

[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2016）02（c）-0195-02

Etiological Analysis and Diagnosis Experience of Acute Vertigo

MA Shao-chang

Emergency Department， Guandu District People's Hospital， Kunming， Yunnan Province， 650000 China

[Abstract] Objective To discuss the etiology and diagnosis experience of acute vertigo. Methods 284 cases of patients with acute vertigo treated in our hospital from March 2013 to May 2014 were selected as the research object and were diagnosed definitely， the blood routine， urine routine， blood glucose and blood lipid index of the patients were mainly detected， in additional， the patients were given electrocardiogram， X-ray of cervical vertebra， neck vascular Doppler， intracranial vascular Doppler and nuclear magnetic resonance examination and the diagnostic results were given statistics， the patients condition was retrospectively analyzed after 3 months of diagnosis. Results In the 284 cases of patients with acute vertigo， vertebrobasilar insufficiency occurred to 150 cases， aural vertigo occurred to 52 cases， cerebral infarction occurred to 43 cases， epileptic vertigo occurred to 20 cases， functional vertigo occurred to 15 cases， others were 4 cases， among them， vertebrobasilar insufficiency was the most etiology leading to vertigo in all ages. Conclusion We must give symptomatic treatment for patients with acute vertigo to relieve the patients vertigo and make a diagnosis of the etiology finally.

[Key words] Acute vertigo； Etiological Diagnosis and treatment； Clinical experience

眩晕具有多重的发病机制，是一种感觉到自我或者周围环境旋转以及摇动的主观上的感觉障碍[1]。患有该种疾病的患者经常会伴有恶心、呕吐、无法睁眼以及无法起床走动的症状，在临床上具有较高的发病率，相关报道，我国人群中的眩晕症发生率为0.5%，可见其具有高发性，因此需要加强研究分析。目前临床对其的研究主要集中在病情诊断方面，由于该疾病病情较长，要想准确的对其确诊，需要医护人员也在不断对其进行回访调查、回顾性的病情分析。该研究整群选择2013年3月—2014年5月，来该院接受治疗的284例急性……