Klenck Chris A
Primary Care Sports Medicine, Indiana University Center for Sports Medicine, 1110 West Michigan Street, Indianapolis, IN 46202, USA.
Curr Sports Med Rep. 2007 Jan;6(1):25-31. doi: 10.1007/s11932-007-0008-9.
Dizziness is a common complaint both in athletes and their nonathletic counterparts. The diagnosis and treatment of dizziness is not significantly different between the two groups. The first step in evaluation involves defining dizziness as either presyncope, vertigo, disequilibrium, or nonspecific dizziness. Once the symptoms are better defined, the evaluation should then proceed with a careful history, physical examination, and appropriate diagnostic tests as indicated. Treatment strategies can be targeted at the underlying cause with the goal of diminishing or resolving the symptoms as well as preventing their recurrence. This article focuses on the diagnosis of dizziness and subsequent treatment regimens with particular attention paid to presyncope and vertigo.
头晕在运动员及其非运动员同龄人中都是常见的主诉。两组人群头晕的诊断和治疗没有显著差异。评估的第一步是将头晕定义为晕厥前期、眩晕、平衡失调或非特异性头晕。一旦症状得到更明确的界定,评估就应接着进行仔细的病史询问、体格检查以及根据需要进行适当的诊断测试。治疗策略可以针对潜在病因,目标是减轻或消除症状以及预防其复发。本文重点关注头晕的诊断及后续治疗方案,尤其关注晕厥前期和眩晕。