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目的 探讨眩晕的正确诊断。方法 回顾性分析 36 3例经头颅SPECT、MRI、MRA、CT、BAEP、听及前庭神经功能、植物神经功能测定诊断眩晕患者的临床资料。结果 36 3例分属于 2 8种疾病 ,其中椎基底动脉供血不足 (VBI)占 5 3.16 % ,前庭周围性眩晕占 2 1.2 1% ,神经症及植物神经功能紊乱占17.90 % ,其他占 7.77%。结论 中老年人以眩晕为首发症状而不能以其他疾病解释时 ,应首先考虑VBI;只有对病史、体征及辅助检查结果进行综合分析 ,才能作出接近正确的诊断。
Objective To investigate the correct diagnosis of vertigo. Methods The clinical data of 363 patients with vertigo diagnosed by skull SPECT, MRI, MRA, CT, BAEP, auditory and vestibular nerve function and autonomic nerve function were retrospectively analyzed. Results 363 cases belonged to 28 kinds of diseases. The vertebrobasilar insufficiency (VBI) accounted for 5 3.16%, vestibular peripheral vertigo accounted for 2 1.2 1%, neurosis and autonomic dysfunction accounted for 17.90%, others accounted for 7.77% . Conclusion Middle-aged and elderly patients with vertigo as the first symptom can not be explained by other diseases, should first consider VBI; only the history, signs and laboratory tests to make a comprehensive analysis of the right to make a correct diagnosis.