眩晕急诊诊断与治疗专家共识

2018-03-05 中国医师协会急诊医师分会 中华急诊医学杂志.2018,27(3):248-253.

眩晕是因机体对空间定位障碍而产生的一种运动性或位置性错觉。据统计以眩晕为主诉者在神经内科门诊中约占5% ~10%,住院病例中约占 6.7%,在耳鼻咽喉科门诊中约占7%。眩晕可由眼、本体感觉或前庭系统疾病引起,也可以由心血管疾病、脑血管疾病、贫血、中毒、内分泌疾病及心理疾病引起,它涉及多个学科,患者有明显的外物或自身旋转感,常伴有恶心、呕吐,常突然发病并伴有明显的恐惧感,而就诊于急诊。本文从中枢性眩

中文标题:

眩晕急诊诊断与治疗专家共识

发布日期:

2018-03-05

简要介绍:

眩晕是因机体对空间定位障碍而产生的一种运动性或位置性错觉。据统计以眩晕为主诉者在神经内科门诊中约占5% ~10%,住院病例中约占 6.7%,在耳鼻咽喉科门诊中约占7%。眩晕可由眼、本体感觉或前庭系统疾病引起,也可以由心血管疾病、脑血管疾病、贫血、中毒、内分泌疾病及心理疾病引起,它涉及多个学科,患者有明显的外物或自身旋转感,常伴有恶心、呕吐,常突然发病并伴有明显的恐惧感,而就诊于急诊。本文从中枢性眩晕和周围性眩晕及精神心理性眩晕三方面介绍其常见疾病的临床表现及基本诊治原则,旨在使急诊医生能够鉴别眩晕的病因,并及时准确地进行有效处理或转诊相关亚专科,使患者能够得到及时有效的救治。

 

拓展指南:眩晕相关指南:

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眩晕急诊诊断与治疗专家共识
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  1. [GetPortalCommentsPageByObjectIdResponse(id=373944, encodeId=6a633e39443f, content=学习了!!!好文章!!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84195172601, createdName=146dd46em49暂无昵称, createdTime=Tue Oct 15 08:37:05 CST 2019, time=2019-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369680, encodeId=21e736968057, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=710c5140928, createdName=14677220m58(暂无昵称), createdTime=Sun Jul 14 22:07:06 CST 2019, time=2019-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=294555, encodeId=5a6c29455594, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Mar 09 14:09:37 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=294509, encodeId=177829450921, content=好好文章学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Fri Mar 09 10:59:06 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293781, encodeId=d2fa293e8143, content=谢谢分享.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed Mar 07 07:33:23 CST 2018, time=2018-03-07, status=1, ipAttribution=)]
    2019-10-15 146dd46em49暂无昵称

    学习了!!!好文章!!

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=373944, encodeId=6a633e39443f, content=学习了!!!好文章!!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84195172601, createdName=146dd46em49暂无昵称, createdTime=Tue Oct 15 08:37:05 CST 2019, time=2019-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369680, encodeId=21e736968057, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=710c5140928, createdName=14677220m58(暂无昵称), createdTime=Sun Jul 14 22:07:06 CST 2019, time=2019-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=294555, encodeId=5a6c29455594, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Mar 09 14:09:37 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=294509, encodeId=177829450921, content=好好文章学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Fri Mar 09 10:59:06 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293781, encodeId=d2fa293e8143, content=谢谢分享.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed Mar 07 07:33:23 CST 2018, time=2018-03-07, status=1, ipAttribution=)]
    2019-07-14 14677220m58(暂无昵称)

    谢谢分享

    0

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    2018-03-09 131****1460

    学习了受益匪浅

    0

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    2018-03-09 139****5926

    好好文章学习了

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=373944, encodeId=6a633e39443f, content=学习了!!!好文章!!, beContent=null, objectType=guider, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=84195172601, createdName=146dd46em49暂无昵称, createdTime=Tue Oct 15 08:37:05 CST 2019, time=2019-10-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=369680, encodeId=21e736968057, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=710c5140928, createdName=14677220m58(暂无昵称), createdTime=Sun Jul 14 22:07:06 CST 2019, time=2019-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=294555, encodeId=5a6c29455594, content=学习了受益匪浅, beContent=null, objectType=guider, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Fri Mar 09 14:09:37 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=294509, encodeId=177829450921, content=好好文章学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K1RUfOKQohib4bXhDtxVgOA9VcKY1LUZkCOmr0v3WupxANz2ibibNHkdevtSruvrhyI29IjXdtvUV48/0, createdBy=6ff82057534, createdName=139****5926, createdTime=Fri Mar 09 10:59:06 CST 2018, time=2018-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=293781, encodeId=d2fa293e8143, content=谢谢分享.学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Wed Mar 07 07:33:23 CST 2018, time=2018-03-07, status=1, ipAttribution=)]
    2018-03-07 明月清辉

    谢谢分享.学习了

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