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目的探讨头晕在社区临床中的鉴别诊断与治疗方法。方法收集2010年3月至2011年3月间因头晕在本院门诊就诊检查123例患者的所有病理资料。并对所有患者资料进行回顾性分析研究。结果所有患者中,属良性阵发性位置性眩晕78例,属因精神障碍引起头晕36例,因脑血管疾病引起头晕9例。良性位置性眩晕病例中,以骨科颈椎退行性变引起为主,其中包括眼科疾病及心内科疾病等。所有患者通过检查后确诊,并均获得有效治疗。少数查明因严重脑血管疾病头晕患者均行有效转诊。结论社区医院由于辅助检查有一定缺陷,对于头晕病人应该从问诊,查体,体检,及有限的辅助检查等多项检查中得出正确的判断,并给予病人及时的正确治疗或及时的转诊。
Objective To investigate the differential diagnosis and treatment of dizziness in community clinics. Methods All the pathological data of 123 patients who visited our clinic from March 2010 to March 2011 due to dizziness were collected. All patient data were analyzed retrospectively. Results In all patients, there were 78 cases of benign paroxysmal positional vertigo, 36 cases of dizziness due to mental disorders and 9 cases of dizziness due to cerebrovascular diseases. Benign positional vertigo in patients with orthopedic cervical degeneration caused by the main, including ophthalmic diseases and cardiology diseases. All patients were diagnosed after examination and were effectively treated. A small number of patients with dizziness due to severe cerebrovascular disease were found to have effective referral. Conclusion Community hospitals have some defects due to the auxiliary examination. Patients with dizziness should get the correct judgment from multiple examinations including examination, examination, physical examination and limited auxiliary examination, and give the patients proper or timely treatment Clinic