论文部分内容阅读
目的分析眩晕症在社区医院误诊误治原因。方法对2005年1月-2009年5月昆明理工大学社区卫生服务中心医生诊断为眩晕症109例患者的临床资料进行分析。结果颈椎病28例,良性阵发性位置性眩晕15例,青光眼1例,偏头痛4例,野生菌中毒2例,更年期综合症4例,神经症5例,交通性脑积水1例,高血压4例,椎-基底动脉供血不足12例,低血压4例,重度贫血1例,耳部耵聍栓塞2例,药物反应2例,短暂性脑缺血发作4例,梅尼埃病12例,前庭神经元炎5例,高脂血症3例。结论眩晕仅为疾病的一个临床症状,并非病名,其病因复杂,临床工作中需认真甄别。
Objective To analyze the causes of misdiagnosis and mistreatment of vertigo in community hospitals. Methods The clinical data of 109 patients diagnosed as vertigo by doctors from the community health service center of Kunming University of Science and Technology from January 2005 to May 2009 were analyzed. Results Cervical spondylosis in 28 cases, benign paroxysmal positional vertigo in 15 cases, glaucoma in 1 case, migraine in 4 cases, wild-type poisoning in 2 cases, menopausal syndrome in 4 cases, 5 cases of neurosis, traffic in 1 case of hydrocephalus, 4 cases of hypertension, vertebrobasilar insufficiency in 12 cases, hypotension in 4 cases, severe anemia in 1 case, ear 耵 聍 embolism in 2 cases, drug reaction in 2 cases, transient ischemic attack in 4 cases, Meniere’s disease 12 cases, vestibular neuritis in 5 cases, 3 cases of hyperlipidemia. Conclusion Vertigo is only a clinical symptom of the disease, not the name of the disease, its etiology is complex, and its work must be carefully screened.