Mira E, Schmid R, Zanocco P, Buizza A, Magenes G
Clinica Otorinolaringoiatrica, Università di Pavia, Italie.
Acta Otorhinolaryngol Belg. 1987;41(6):1010-20.
A computerized system (VERTIGO) aimed to the classification and diagnosis of different types of vertigo has been developed. It is based on the shell EXPERT (Weiss and Kulikowski, 1979). At present only the findings arising from patient history are considered as input data and the diagnostic possibilities of the system have been limited to the differential diagnosis of vertigo due to peripheral vestibular disorders. About thirty different forms of vertigo are taken into account. They are clustered in two groups, true vertigo and dizziness. Data are collected through a computer controlled questionnaire. Using the facilities offered by EXPERT, the sequence of the questions can be modified according to the flow of information in order to reproduce different diagnostic strategies. After history taking, the system presents a summary of the available findings followed by its diagnostic conclusions. Different conclusions can be proposed with different degrees of certainty. Conclusions can be justified by the system when required.
已开发出一种用于不同类型眩晕分类和诊断的计算机化系统(VERTIGO)。它基于EXPERT外壳(韦斯和库利科夫斯基,1979年)。目前,仅将患者病史中的发现视为输入数据,并且该系统的诊断可能性仅限于对周围性前庭疾病引起的眩晕进行鉴别诊断。考虑了大约三十种不同形式的眩晕。它们分为两组,真性眩晕和头晕。数据通过计算机控制的问卷收集。利用EXPERT提供的功能,可以根据信息流修改问题的顺序,以再现不同的诊断策略。病史采集后,系统会呈现现有发现的总结,随后给出诊断结论。可以以不同程度的确定性提出不同的结论。如有需要,系统可以为结论提供依据。