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头晕患者:病因、鉴别诊断及管理综述

The dizzy patient: a review of etiology, differential diagnosis, and management.

作者信息

Anderson D C, Yolton R L, Reinke A R, Kohl P, Lundy-Ekman L

机构信息

College of Optometry, Pacific University, Forest Grove, OR 97116, USA.

出版信息

J Am Optom Assoc. 1995 Sep;66(9):545-58.

PMID:7490415
Abstract

BACKGROUND

Dizziness is a lay term used to describe a variety of sensations. Unfortunately, the term "dizziness" does not have a precise medical definition, and additional information is typically required to further define the patient's problem.

METHODS

When dizziness is a presenting complaint, distinctions must be made between vertigo (a sense of false movement), near-syncope (a feeling of impending faint), disequilibrium (loss of balance), and ill-defined lightheadedness (an inability to concentrate or focus the mind). Possible causes of dizziness include conflicts between visual and vestibular information, vascular problems, adverse reactions to medication, psychological difficulties, systemic disease, and the effects of aging.

RESULTS

Dizziness is a symptom of a physiological or psychological illness, and therefore management is typically directed toward treatment of the underlying illness. In some cases the cause of the dizziness cannot be found, however, or is untreatable. In these cases, management is directed toward symptom reduction.

CONCLUSIONS

Dizziness is a relatively common problem that arises from a variety of causes. In many cases, optometrists can participate in the diagnosis and management of patients with complaints of dizziness.

摘要

背景

头晕是一个非专业术语,用于描述各种感觉。不幸的是,“头晕”一词没有精确的医学定义,通常需要更多信息来进一步明确患者的问题。

方法

当头晕作为主诉出现时,必须区分眩晕(一种虚假运动的感觉)、接近晕厥(即将昏厥的感觉)、平衡失调(失去平衡)和定义不明确的头晕(无法集中注意力或思维)。头晕的可能原因包括视觉和前庭信息之间的冲突、血管问题、药物不良反应、心理问题、全身性疾病以及衰老的影响。

结果

头晕是生理或心理疾病的症状,因此治疗通常针对潜在疾病。然而,在某些情况下,头晕的原因无法找到或无法治疗。在这些情况下,治疗旨在减轻症状。

结论

头晕是一个相对常见的问题,由多种原因引起。在许多情况下,验光师可以参与对头晕患者的诊断和治疗。

相似文献

1
The dizzy patient: a review of etiology, differential diagnosis, and management.头晕患者:病因、鉴别诊断及管理综述
J Am Optom Assoc. 1995 Sep;66(9):545-58.
2
The dizzy patient: stepwise workup of a common complaint.头晕患者:常见主诉的逐步检查
Geriatrics. 1995 Jun;50(6):42-6, 49; quiz 50-1.
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Vertigo and dizziness--a clinical approach.眩晕与头晕——临床诊疗方法
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Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes.中枢性眩晕与头晕:流行病学、鉴别诊断及常见病因
Neurologist. 2008 Nov;14(6):355-64. doi: 10.1097/NRL.0b013e31817533a3.
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Office management of the dizzy patient.头晕患者的门诊管理
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Dizziness in the older adult, Part 1. Evaluation and general treatment strategies.老年患者的头晕,第1部分。评估与一般治疗策略。
Geriatrics. 2003 Apr;58(4):28-30, 33-6.
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[Summary of the Dutch College of General Practitioners' practice guideline 'Dizziness'].[荷兰全科医生学院实践指南《头晕》总结]
Ned Tijdschr Geneeskd. 2003 Feb 22;147(8):331-5.
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Dizziness: a diagnostic approach.头晕:一种诊断方法。
Am Fam Physician. 2010 Aug 15;82(4):361-8, 369.
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Curr Opin Otolaryngol Head Neck Surg. 2009 Jun;17(3):200-3. doi: 10.1097/MOO.0b013e32832b2594.
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