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目的:分析儿童良性阵发性眩晕(BPVC)的临床特点及诊断治疗。方法:对45例患儿行头颅及颞骨高分辨率CT检查,脑电图检查,前庭功能冷热水交替试验,给予对症及镇静及抗胆碱药物治疗。结果:45例患儿经临床除外癫痫、颅内肿物等其他病变,确诊后治疗均治愈。结论:儿童BPVC主要依据病史、CT检查及前庭功能检查,除外其他疾病后确诊,积极治疗,避免误诊,避免对患儿及家长造成心理及精神影响。
Objective: To analyze the clinical features and diagnosis and treatment of benign paroxysmal vertigo (BPVC) in children. Methods: Forty-five children underwent high-resolution CT scans of the skull and temporal bone, electroencephalography (EEG) and alternating hot and cold vestibular function. The patients were given symptomatic and sedative and anticholinergic drugs. Results: 45 cases of children with clinical exclusion of epilepsy, intracranial tumor and other lesions, the diagnosis of treatment were cured. Conclusion: The diagnosis of BPVC in children based on medical history, CT examination and vestibular function test, except for other diseases, is positive and active treatment to avoid misdiagnosis and avoid mental and psychological impact on children and parents.