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急诊科的头晕:基于人群研究的见解与流行病学数据

Dizziness in the Emergency Department: Insights and Epidemiological Data - a Population Based Study.

作者信息

Zarachi Athina, Pezoulas Vasileios, Lianou Aikaterini, Tsikou Alkistis, Tsiakas Ilias, Dinaki Konstantina, Dimitrios Fotiadis, Liontos Angelos

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece.

Unit of Medical Technology and Intelligent Information Systems, Departement of Materials Science and Engineering, University of Ioannina, Ioannina, Greece.

出版信息

Maedica (Bucur). 2022 Mar;17(1):122-128. doi: 10.26574/maedica.2022.17.1.122.

Abstract

Dizziness is a commonly referred symptom in emergency departments (EDs). The aim of this study is to describe the epidemiology of dizziness included acute vestibular syndrome (AVS) in the ED of the University Hospital of Ioannina, Grecce, during a six-month period. A total of 60 patients presenting with dizziness to the ED of our hospital during a short period of six months in 2021 were identified. Data were obtained through retrospective and prospective review of medical records. Statistical analysis was based on ÉBM-SPSS Statistics 26.0. Among the 60 patients, 16.67% received the diagnosis of cerebellar stroke, 3.33% Meniere disease, 16.67% vestibular neuritis, 20% benign paroxysmal positional vertigo, 3.33% cardiovascular disease, and 1.67% had a neurological disease. Finally, 35% of patients left the ED undiagnosed. Benign paroxysmal positional vertigo was found to be the most common cause of dizziness in the ED, followed by cerebellar stroke and vestibular neuritis. A detailed neurological examination is recommended for the diagnosis of dizziness in the ED. Our data confirm the findings of previous studies in the GreeK population of patients presenting with dizziness to the ED of our hospital.

摘要

头晕是急诊科常见的转诊症状。本研究的目的是描述希腊约阿尼纳大学医院急诊科在六个月期间包括急性前庭综合征(AVS)在内的头晕的流行病学情况。2021年,在短短六个月内,共有60例因头晕到我院急诊科就诊的患者被确诊。数据通过对病历的回顾性和前瞻性审查获得。统计分析基于ÉBM-SPSS Statistics 26.0。在这60例患者中,16.67%被诊断为小脑中风,3.33%为梅尼埃病,16.67%为前庭神经炎,20%为良性阵发性位置性眩晕,3.33%为心血管疾病,1.67%患有神经系统疾病。最后,35%的患者在未确诊的情况下离开急诊科。良性阵发性位置性眩晕被发现是急诊科头晕最常见的原因,其次是小脑中风和前庭神经炎。建议对急诊科头晕患者进行详细的神经系统检查。我们的数据证实了先前在希腊人群中对我院急诊科头晕患者的研究结果。

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本文引用的文献

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The epidemiology of dizziness and vertigo.头晕与眩晕的流行病学
Handb Clin Neurol. 2016;137:67-82. doi: 10.1016/B978-0-444-63437-5.00005-4.
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Dizziness in the emergency room: diagnoses and misdiagnoses.急诊室头晕:诊断和误诊。
Eur Neurol. 2011;66(5):256-63. doi: 10.1159/000331046. Epub 2011 Oct 6.
10
Diagnosis and treatment of vertigo and dizziness.眩晕的诊断与治疗。
Dtsch Arztebl Int. 2008 Mar;105(10):173-80. doi: 10.3238/arztebl.2008.0173. Epub 2008 Mar 7.

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