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[神经耳科学诊断中的常见错误]

[Frequent errors in neuro-otologic diagnosis].

作者信息

Holtmann S, Scherer H

出版信息

Laryngol Rhinol Otol (Stuttg). 1985 Nov;64(11):595-8.

PMID:4079622
Abstract

A number of characteristic sources of error during the testing of vestibular function, originating from anamnesis, equipment and examination, are described. It is stressed that false-positive findings are often due to the influence of alcohol and that false-negative findings may be the result of tiredness or sedative drugs. With regard to the caloric test, it is recommended that water provides a better stimulus than air, and that the warm caloric stimulus is more valid than the cold caloric stimulus. Attention should be paid to the ENG-recorders, particularly to an adequate writing breadth, and to time constants. Different parameters in use for quantitative analysis of the intensity of vestibular reactions are discussed. If the findings are vague, repeated examination will often help to clarify matters. The regular use of Frenzel glasses is of great importance, since otherwise examination of the vestibular organs must be considered incomplete.

摘要

本文描述了在前庭功能测试过程中,一些源于病史、设备和检查的典型误差来源。强调假阳性结果常因酒精影响所致,而假阴性结果可能是疲劳或镇静药物作用的结果。关于冷热试验,建议用水作为刺激源比用气更好,且温热刺激比冷刺激更有效。应注意眼震电图记录仪,特别是要有足够的记录宽度和时间常数。文中讨论了用于前庭反应强度定量分析的不同参数。如果检查结果不明确,重复检查往往有助于澄清问题。经常使用弗伦泽尔眼镜非常重要,否则前庭器官检查必须被视为不完整。

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