Sama A, Meikle J C, Jones N S
Department of Otolaryngology, University Hospital, Nottingham, UK.
Br J Clin Pract. 1995 Mar-Apr;49(2):79-82.
Dizziness is a common symptom in patients presenting to an otorhinolaryngologist. Hyperventilation accounts for up to 5% of cases with dizziness and is a contributory factor in a further 20% of cases. Six cases of dizziness due to hyperventilation are presented to illustrate the author's simple management policy. A high index of suspicion in the absence of an organic cause of dizziness and a simple provocation test will identify these cases. Management is aimed at demonstrating resting hypocapnia, investigations to exclude organic causes of hyperventilation and rehabilitation in collaboration with a clinical psychologist ensures the appropriate treatment for the dizziness and can avoid the development of chronic somatisation behaviours.
头晕是耳鼻喉科就诊患者的常见症状。通气过度占头晕病例的比例高达5%，在另外20%的病例中是一个促成因素。本文介绍了6例因通气过度导致的头晕病例，以说明作者的简单处理策略。在没有头晕的器质性病因时保持高度怀疑，并进行简单的激发试验，可识别出这些病例。处理的目的是证明静息时低碳酸血症的存在，进行检查以排除通气过度的器质性病因，并与临床心理学家合作进行康复治疗，确保对头晕进行适当治疗，并可避免慢性躯体化行为的发展。
