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眩晕是门诊患者最常见的主诉之一,也是老年人常患的症状。为探讨老年人引起眩晕的原因,提供治疗和预防方法,我们对以眩晕住院的老年病例进行分析。 1 临床资料 1.1 一般资料 我院1993年1月～1997年12月收治老年眩晕患者21例,其中男19例,女2例。年龄60～69岁者15例,70～79岁者5例,80岁以上者1例。 1.2 眩晕的临床表现 ①眩晕表现为周围环境和(或)自身旋转感、直线运动感、不稳或头重脚轻感。眩晕表现为阵发性发作者17例,一般几秒至几分钟缓解;持续性者4例,需经2～3天以上缓解;②眩晕伴随症状和体征:伴恶心、呕吐9例,耳鸣4例,眼花6例,出汗5例,双上肢或单侧上肢麻木2例,闭目难立征阳性3例,水平和(或)垂直性眼球震颤4例;③患者发病前常有明显诱因,以疲劳、失眠而诱发者5例,呼吸道感染2例,眩晕同时伴高血压者2例,精神过度紧张1例。
Dizziness is one of the most common complaints of outpatients and is also a symptom of the elderly. To investigate the causes of dizziness in the elderly and to provide treatment and prevention methods, we analyzed elderly patients hospitalized in dizziness. 1 Clinical data 1.1 General Information Our hospital from January 1993 to December 1997 admitted 21 cases of elderly patients with vertigo, including 19 males and 2 females. There were 15 cases aged 60-69 years, 5 cases 70-79 years old and 1 case aged over 80 years. 1.2 clinical manifestations of vertigo ① vertigo performance for the surrounding environment and (or) their sense of rotation, a sense of linear motion, instability or top-heavy feet. Dizziness manifested as paroxysmal in 17 cases, generally a few seconds to minutes relief; persistent in 4 cases, to be relieved over 2 to 3 days; ② vertigo associated with symptoms and signs: with nausea and vomiting in 9 cases, tinnitus 4 Cases, vertigo in 6 cases, sweating in 5 cases, upper extremity or unilateral upper limb numbness in 2 cases, closed eyes hard to cure sign in 3 cases, horizontal and (or) vertical nystagmus in 4 cases; ③ patients often before the onset of obvious incentives , 5 cases were induced by fatigue and insomnia, 2 cases were respiratory infection, 2 cases were vertigo with hypertension, and 1 case was over-stressed.