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自1987年以来,利多卡因、苯巴比妥钠联用治疗眩晕症46例,收到了较好的效果,现报告如下。 1 临床资料 1.1 一般资料 46例中,男性14例,女性32例。年龄20～51岁,平均38岁。临床表现为:起病急,视物旋转或自身旋转感;绝大部分伴有恶心、呕吐,面色苍白;部分患者有耳鸣,听力障碍及眼球震颤等。感冒者有发热,流涕。其中美尼尔氏综合征24例,重及基底动脉供血不足2例,初次发病30例,再发16例。 1.2 治疗方法 以利多卡因1mg/kg(一般成人50～60mg),加入50％葡萄糖液40～60ml中,缓慢静注,继之肌注苯巴比妥钠0.1～0.2g,每日1次,治毕,嘱患者卧床休息,间断口服抗组织胺药物,感冒及基底动脉供血不足者,对因治疗。
Since 1987, lidocaine, phenobarbital combined treatment of vertigo 46 cases, received good results, are as follows. 1 Clinical data 1.1 General information 46 cases, 14 males and 32 females. Age 20 to 51 years old, average 38 years old. Clinical manifestations: acute onset, depending on the material rotation or self-rotation; most of the associated with nausea, vomiting, pale; some patients have tinnitus, hearing impairment and nystagmus. The flu has fever, runny nose. 24 cases of Meniere’s syndrome, weight and basilar artery insufficiency in 2 cases, the initial incidence of 30 cases, 16 cases of recurrence. 1.2 The treatment of lidocaine 1mg / kg (50-60 mg general adults), 50% glucose solution 40 ~ 60ml, slow intravenous injection, followed by intramuscular injection of sodium phenobarbital 0.1 ~ 0.2g, 1 times a day , Completed treatment, Zhu Huanzhe bed rest, intermittent oral antihistamine drugs, cold and basilar artery insufficiency, due to treatment.