Eaton Deborah A, Roland Peter S
Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, USA.
Geriatrics. 2003 Apr;58(4):28-30, 33-6.
Dizziness is one of the most common complaints among patients age 50 and older who present to primary care physicians. The evaluation of dizziness is challenging due to the wide range of diagnostic possibilities, including four symptom categories each with multiple potential underlying causes. Although each cause has specific treatment options, general management strategies can be applied to all patients presenting with dizziness. These strategies include use of medications to control acute vestibular and autonomic symptoms as well as vestibular rehabilitation exercises. Difficult cases that do not respond to treatment efforts should be referred to an otolaryngologist for further evaluation and treatment.
头晕是50岁及以上到初级保健医生处就诊的患者中最常见的主诉之一。由于诊断可能性范围广泛，包括四个症状类别，每个类别都有多种潜在的根本原因，因此头晕的评估具有挑战性。尽管每种病因都有特定的治疗选择，但一般管理策略可应用于所有出现头晕症状的患者。这些策略包括使用药物控制急性前庭和自主神经症状以及进行前庭康复锻炼。对治疗无反应的疑难病例应转诊给耳鼻喉科医生进行进一步评估和治疗。
