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笔者采用静脉注射利多卡因治疗眩晕,疗效满意。兹介绍如下: 临床资料自1971年以来共收治眩晕病人148例,男性81例,女性67例。年龄最小14岁,最大69岁,平均38岁。其中美尼尔氏病131例,占88.5%;前庭神经炎3例,占2%;位置性眩晕5例,占3.4%;迷路震荡1例,占0.7%;外淋巴瘘2例,占1.4%;颈性眩晕6例,占4%。采用利多卡因治疗的111例,采用其他方法治疗的37例,作为对照。体检:本组有自发性眼震86例,其中2例为旋转型,其余均为水平型;Ⅰ度眼震12例,Ⅱ度69例,Ⅲ度5例;内听道摄片53例,全正常。前庭功能检查:以微量冰水试验作为前庭功能检查的方法。注入40毫升冰水而无眼震者为前庭功能消失,注入10毫升以上的冰水始出现眼震者为前庭功能减退。75例前庭功能检查中,40例正常,28例减退,7例消失。其中双侧减退2例,右侧18例,包括4例消失;左侧
I use intravenous lidocaine treatment of vertigo, the effect is satisfactory. Here are the following: Clinical data A total of 148 patients with vertigo were treated since 1971, 81 males and 67 females. Youngest 14 years old, maximum 69 years old, average 38 years old. There were 131 cases of Meniere’s disease (88.5%), 3 cases of vestibular neuritis (2%), 5 cases of positional vertigo (3.4%), 1 case of labyrinthine shock (0.7%), 2 cases of external lymphatic fistula %; 6 cases of cervical vertigo, accounting for 4%. 111 cases treated with lidocaine, 37 cases treated with other methods, as a control. Physical examination: This group of spontaneous nystagmus in 86 cases, of which 2 cases of rotary type, the rest are horizontal; degree of nystagmus in 12 cases, Ⅱ degree in 69 cases, Ⅲ degree in 5 cases; 53 cases of internal auditory canal radiography, All normal. Vestibular function test: a trace amount of ice water test as a method of vestibular function test. Infusion of 40 ml of ice water without nystagmus disappeared vestibular function, injection of ice water above 10 ml began to appear nystagmus for the vestibular function decline. In 75 cases of vestibular function test, 40 cases were normal, 28 cases decreased, 7 cases disappeared. Two cases of bilateral hypothyroidism, 18 cases of right, including 4 cases disappeared; the left