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[梅尼埃病患者的管理。诊断明确但引发眩晕的观点]

[Management of the patient with Meniere's disease. Clear diagnosis but vertigo-provoking perspective].

作者信息

Schaaf H, Holtmann H

机构信息

Psychotherapie, Tinnitusklinik, Bad Arolsen.

出版信息

HNO. 2005 Oct;53(10):889-94. doi: 10.1007/s00106-005-1248-8.

DOI:10.1007/s00106-005-1248-8
PMID:15909147
Abstract

Meniere's disease is characterised by recurrent attacks of vertigo, sensory hearing loss and tinnitus. Meniere's attacks can lead to additional bouts of dizziness. While diagnosis in recurrent spells is easily secured, managing the patients is as difficult as the often unclear development of this -- mostly -- progressive disease. The underlying principle for therapy of this frequently changing disease is a reliable patient-physician relation, which should be based on extensive knowledge of the disease and not only include ENT findings but also broad medical counselling.

摘要

梅尼埃病的特征是反复发作的眩晕、感音神经性听力损失和耳鸣。梅尼埃病发作可导致额外的头晕发作。虽然复发性发作的诊断很容易确定,但管理患者却很困难,因为这种(大多为)进行性疾病的发展往往不明确。治疗这种经常变化的疾病的基本原则是建立可靠的医患关系,这应基于对该疾病的广泛了解,不仅包括耳鼻喉科检查结果,还应包括广泛的医疗咨询。

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HNO. 2005 Oct;53(10):889-94. doi: 10.1007/s00106-005-1248-8.
2
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引用本文的文献

1
[Low frequency fluctuating hearing loss without labyrinthine vertigo--a genuine disease? A follow up study after 4 and 10 years].[无迷路性眩晕的低频波动性听力损失——一种真性疾病?4年及10年后的随访研究]
HNO. 2007 Aug;55(8):630-7. doi: 10.1007/s00106-006-1495-3.

本文引用的文献

1
[Intratympanic interval therapy of Menière disease with gentamicin with preserving cochlear function].[庆大霉素鼓室内间隔治疗梅尼埃病并保留耳蜗功能]
HNO. 2003 Nov;51(11):898-902. doi: 10.1007/s00106-003-0841-y.
2
Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness.主诉头晕患者中的焦虑症及其他精神亚组
J Anxiety Disord. 2003;17(4):369-88. doi: 10.1016/s0887-6185(02)00226-8.
3
[Drug treatment for vertigo].[眩晕的药物治疗]
Laryngorhinootologie. 2003 Jan;82(1):44-61; quiz 62-6. doi: 10.1055/s-2003-36903.
4
[Driving ability with vestibulär lesions].[前庭病变患者的驾驶能力]
HNO. 2002 Dec;50(12):1086-8. doi: 10.1007/s00106-002-0771-0.
5
[Cooperation within the tinnitus retraining therapy team--chances and challenges].耳鸣再训练疗法团队内部的合作——机遇与挑战
HNO. 2002 Jun;50(6):572-7. doi: 10.1007/s00106-002-0655-3.
6
[Is recurrent loss of low frequency tone perception--without vertigo--a precursor of Meniere disease?].[低频音调感知反复丧失——无眩晕——是梅尼埃病的先兆吗?]
HNO. 2001 Jul;49(7):543-7. doi: 10.1007/s001060170079.
7
[Difficult decision in treatment of Menière disease].[梅尼埃病治疗中的艰难抉择]
HNO. 2001 Mar;49(3):163-5. doi: 10.1007/s001060050728.
8
Betahistine for Menière's disease or syndrome.倍他司汀用于梅尼埃病或综合征。
Cochrane Database Syst Rev. 2001;2001(1):CD001873. doi: 10.1002/14651858.CD001873.
9
[Reactive hysterical vertigo. An important component in recurrent Menière episodes].[反应性癔症性眩晕。梅尼埃病复发发作的一个重要组成部分]
HNO. 1999 Oct;47(10):924-32. doi: 10.1007/s001060050536.
10
[Drug costs in patients with chronic complex tinnitus].[慢性复杂性耳鸣患者的药物费用]
HNO. 1999 Jul;47(7):658-60. doi: 10.1007/s001060050442.