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[不明原因的慢性眩晕综合征——跨学科住院诊断概念的经验]

[Unclear chronic vertigo syndromes-experiences with an interdisciplinary inpatient diagnostic concept].

作者信息

Münst J, Pudszuhn A, V Bernstorff M, Obermueller T, Erdur H, Audebert H J, Rose M, Reisshauer A, Hoffmann I, Schönfeld U, Hofmann V M

机构信息

Klinik für Hals-Nasen-Ohrenheilkunde, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Hindenburgdamm 30, 12203, Berlin, Deutschland.

Klinik und Hochschulambulanz für Neurologie, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Deutschland.

出版信息

HNO. 2022 Jan;70(1):33-43. doi: 10.1007/s00106-021-01059-4. Epub 2021 May 4.

Abstract

Dizziness is a common leading symptom. Especially patients with chronic vertigo syndromes experience a significant impairment in quality of life up to a limitation of their ability to work in the case of employed persons. The consequences are financial and capacitive burdens on the health system due to frequently multiple examinations and sick leave up to occupational invalidity of the affected patient. In 150 patients with chronic vertigo syndromes and an unclear outpatient diagnosis, at least one diagnosis that justified the complaint was made in over 90% of cases on the basis of a structured interdisciplinary inpatient diagnostic concept. Chronic vertigo syndromes are often multifactorial. Psychosomatic (accompanying) diagnoses were found in more than half of the patients. Targeted therapy can only be recommended after establishing a specific diagnosis. This justifies an interdisciplinary inpatient diagnostic concept for persistently unclear cases.

摘要

头晕是一种常见的主要症状。尤其是患有慢性眩晕综合征的患者,其生活质量会受到严重损害,对于就业人员而言,甚至会限制其工作能力。由于受影响患者常常需要进行多次检查并休病假,直至职业残疾,这给卫生系统带来了经济和资源负担。在150例患有慢性眩晕综合征且门诊诊断不明确的患者中,基于结构化的跨学科住院诊断概念,超过90%的病例至少做出了一种能解释该症状的诊断。慢性眩晕综合征通常是多因素的。超过半数的患者被发现存在心身(伴随性)诊断。只有在确立具体诊断后才能推荐针对性治疗。这证明了对于持续不明确的病例采用跨学科住院诊断概念的合理性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/706c/8760215/31073d86e76c/106_2021_1059_Fig1_HTML.jpg

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