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我们用利多卡因治疗眩晕症80例,效果如下:1 临床资料 80例中男42例,女38例,年龄17～67岁,48岁以下64例,52～67岁16例。本组临床诊断为美尼尔综合征61例,位置性眩晕5例,中毒性迷路炎4例,椎基底动脉供血不足致眩晕6例,重感冒4例。61例美尼尔综合征中44例是首次发病。其眩晕发作多较急,均有视物旋转或自身旋转感,有的呈摇摆性,绝大多数伴有恶心、呕吐、面色苍白等迷走神经症状,部分病人有耳鸣、耳聋、听力减退、眼球震颤等。发病持续10～120分钟64例,3～5天16例。2 用药方法 2％利多卡因1mg/kg体重加入50％葡萄糖40～60ml,15～20分钟内缓慢静脉注射完毕。其中20例同时肌注654—2 10mg。感冒者对症用药。
We use lidocaine 80 cases of vertigo, the effect is as follows: 1 Clinical data 80 cases of 42 males and 38 females, aged 17 to 67 years old, 64 under 48 years old, 52 to 67 years old in 16 cases. This group of clinical diagnosis of Meniere’s syndrome in 61 cases, 5 cases of positional vertigo, 4 cases of toxic labyrinth, vertebrobasilar insufficiency caused dizziness in 6 cases, 4 cases of severe cold. Forty-six of 61 patients with Ménière’s syndrome were the first to develop. Most of them have nausea, vomiting, pale and other vagal symptoms, some patients have tinnitus, deafness, hearing loss, nystagmus Wait. The incidence of 10 to 120 minutes continued in 64 cases, 3 to 5 days in 16 cases. 2 medication 2% lidocaine 1mg / kg body weight by adding 50% glucose 40 ~ 60ml, 15 ~ 20 minutes slow intravenous injection is completed. 20 cases of intramuscular injection of 654-2 10mg at the same time. Cold symptomatic medication.