{"id":39728,"date":"2018-09-01T01:00:00","date_gmt":"2018-09-17T06:34:41","guid":{"rendered":"http:\/\/www.05921.net\/index.php\/2018\/09\/17\/%e5%91%a8%e5%9b%b4%e6%80%a7%e5%92%8c%e4%b8%ad%e6%9e%a2%e6%80%a7%e7%9c%a9%e6%99%95%e7%9a%84%e8%af%8a%e6%b2%bb%e6%b5%81%e7%a8%8b%ef%bc%8c%e5%80%bc%e5%be%97%e6%94%b6%e8%97%8f%ef%bc%81\/"},"modified":"2018-09-17T14:34:46","modified_gmt":"2018-09-17T06:34:46","slug":"%e5%91%a8%e5%9b%b4%e6%80%a7%e5%92%8c%e4%b8%ad%e6%9e%a2%e6%80%a7%e7%9c%a9%e6%99%95%e7%9a%84%e8%af%8a%e6%b2%bb%e6%b5%81%e7%a8%8b%ef%bc%8c%e5%80%bc%e5%be%97%e6%94%b6%e8%97%8f%ef%bc%81","status":"publish","type":"post","link":"https:\/\/www.05921.net\/index.php\/39728\/","title":{"rendered":"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01"},"content":{"rendered":"
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\u300c\u5934\u6655\u548c\u7729\u6655\uff0c\u8fd9\u4e9b\u6982\u5ff5\u7406\u6e05\u4e86\u5417\uff1f<\/a>\u300d\u4e00\u6587\u63cf\u8ff0\u7684\u5934\u6655\u5206\u7c7b\u4e3b\u8981\u6309\u7167\u75c7\u72b6\u533a\u5206\uff0c\u4f46\u5728\u4e34\u5e8a\u5de5\u4f5c\u4e2d\uff0c\u75c5\u4eba\u5bf9\u4e8e\u5934\u6655\u75c7\u72b6\u7684\u63cf\u8ff0\u5f80\u5f80\u975e\u5e38\u542b\u7cca\u4e0d\u6e05\uff0c\u7ed9\u4e34\u5e8a\u533b\u751f\u7684\u8bca\u65ad\u5e26\u6765\u5f88\u5927\u56f0\u6270\u3002<\/p>\n

\u672c\u6587\u5411\u8bf8\u4f4d\u4ecb\u7ecd TiTrATE\uff08Timing, Triggers And a Targeted Examination\uff09\u5934\u6655\u8bca\u65ad\u53ca\u7ba1\u7406\u6cd5\uff08timing\uff1a\u5934\u6655\u53d1\u4f5c\u6b21\u6570\uff0c\u6301\u7eed\u65f6\u95f4\u53ca\u8fdb\u5c55\uff1b triggers\uff1a\u5934\u6655\u53d1\u4f5c\u65f6\u7684\u6d3b\u52a8\u3001\u8fd0\u52a8\u53ca\u60c5\u5883\uff1bTargeted Examination\uff1a\u6709\u9488\u5bf9\u6027\u7684\u68c0\u67e5\uff09\uff0c\u5e0c\u671b\u80fd\u7ed9\u5e7f\u5927\u540c\u884c\u4ee5\u5e2e\u52a9\u3002<\/p>\n

\n
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 TiTrATE\u8bca\u6cbb\u6d41\u7a0b<\/span><\/strong>
<\/p>\n<\/section>\n<\/section>\n

\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"<\/p>\n<\/section>\n<\/section>\n


<\/p>\n

\n
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\u6b65\u9aa4\u4e00\uff1a\u5934\u6655\u5206\u7c7b<\/strong><\/p>\n<\/section>\n<\/section>\n


\u9996\u5148\uff0c\u6211\u4eec\u6309\u7167\u5934\u6655\u53d1\u4f5c\u6b21\u6570\u53ca\u65f6\u957f\u8fdb\u884c\u7b80\u5355\u5206\u7c7b [2]<\/sup>\uff1a
<\/p>\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"<\/p>\n


\u5bf9\u4e8e\u8bf1\u56e0\u800c\u8a00\uff0c\u4e34\u5e8a\u4e0a\u4ee5\u5934\u4f4d\u6539\u53d8\u5e38\u89c1\uff0c\u8be5\u8bc1\u636e\u63d0\u793a\u826f\u6027\u9635\u53d1\u6027\u4f4d\u7f6e\u6027\u7729\u6655\uff1b\u4f53\u4f4d\u6539\u53d8\u5bfc\u81f4\u7684\u5934\u6655\u5219\u63d0\u793a\u4f53\u4f4d\u6027\u4f4e\u8840\u538b\u53ef\u80fd\u3002<\/p>\n

\n
\n

\u6b65\u9aa4\u4e8c\uff1a\u6392\u9664\u836f\u7269\u76f8\u5173\u7684\u5934\u6655<\/strong><\/p>\n<\/section>\n<\/section>\n


\u9664\u4e0a\u8ff0\u539f\u56e0\uff0c\u90e8\u5206\u836f\u7269\u4e5f\u53ef\u5f15\u8d77\u5934\u6655\uff0c\u4ee5\u4e0b\u4e3a\u5e38\u89c1\u81f4\u6655\u836f\u7269\u53ca\u673a\u5236 [1]<\/sup>\uff1a            <\/p>\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"<\/p>\n

\n
\n

\u6b65\u9aa4\u4e09\uff1a\u795e\u7ecf\u7cfb\u7edf\u68c0\u67e5<\/strong><\/p>\n<\/section>\n<\/section>\n


\u8f85\u52a9\u68c0\u67e5\u4e00\u822c\u5305\u62ec\u4e24\u90e8\u5206\uff0c\u795e\u7ecf\u7cfb\u7edf\u68c0\u67e5\u53ca\u5fc3\u6e90\u6027\u76f8\u5173\u56e0\u7d20\u7684\u68c0\u67e5\u3002<\/span><\/p>\n


<\/p>\n

\u795e\u7ecf\u7cfb\u7edf\u68c0\u67e5\u53c8\u5206\u4e3a\u4e24\u90e8\u5206\uff0cDix-Hallpike \u8bd5\u9a8c\u3001\u4ef0\u5367\u4f4d\u6eda\u8f6c\u8bd5\u9a8c\u53ca HINTS \u68c0\u67e5\uff0c\u524d\u4e8c\u8005\u7528\u4ee5\u9274\u522b\u826f\u6027\u9635\u53d1\u6027\u4f4d\u7f6e\u6027\u7729\u6655\uff08\u8be6\u60c5\u53ef\u89c1<\/span>\u826f\u6027\u9635\u53d1\u6027\u4f4d\u7f6e\u6027\u7729\u6655\u8bca\u65ad\uff1a10\u5f20\u56fe\u5e2e\u4f60\u7406\u6e05<\/a>\uff0c\u5728\u6b64\u4e0d\u8be6\u7ec6\u5c55\u5f00\uff09\uff1b HINTS \u68c0\u67e5\u4e3b\u8981\u7528\u4ee5\u9274\u522b\u4e2d\u67a2\u6027\u7729\u6655\u3002<\/span><\/p>\n


<\/p>\n

HINTS \u68c0\u67e5\u5168\u79f0\u4e3a\u5934\u8109\u51b2-\u773c\u9707-\u626d\u8f6c\u504f\u659c\uff08head impulse, nystagmus, test of skew, HINTS\uff09\u68c0\u67e5\uff0c\u662f\u9274\u522b\u524d\u5ead\u53ca\u4e2d\u67a2\u75c5\u53d8\u6700\u4e3a\u6709\u6548\u7684\u5e8a\u65c1\u68c0\u67e5\u65b9\u6cd5\u3002\u8be5\u68c0\u67e5\u5206\u4e3a\u4e09\u90e8\u5206\uff0c\u5305\u62ec\u6c34\u5e73\u7529\u5934\u8bd5\u9a8c\uff08head impulse test\uff09\uff0c\u773c\u9707\u65b9\u5411\u89c2\u5bdf\uff08nystagmus\uff09\u53ca\u626d\u8f6c\u504f\u659c\uff08test of skew\uff09\u3002<\/p>\n

1. \u6c34\u5e73\u7529\u5934\u8bd5\u9a8c<\/strong><\/p>\n

\u68c0\u67e5\u8005\u53cc\u624b\u6276\u4f4f\u60a3\u8005\u5934\u90e8\uff0c\u5631\u53d7\u68c0\u8005\u6ce8\u89c6\u68c0\u67e5\u8005\u7684\u9f3b\u5b50\uff0c\u7136\u540e\u5c06\u53d7\u68c0\u8005\u5934\u90e8\u671d\u5411\u4e00\u4fa7\u5feb\u901f\u8f6c\u52a8 20\u00b0\u5de6\u53f3\uff0c\u540c\u65f6\uff0c\u6ce8\u610f\u53d7\u68c0\u8005\u7684\u773c\u7403\u8fd0\u52a8\u60c5\u51b5\u3002\u82e5\u53d7\u68c0\u8005\u524d\u5ead\u529f\u80fd\u6b63\u5e38\uff0c\u5176\u773c\u7403\u4f1a\u5411\u8f6c\u5934\u65b9\u5411\u53cd\u5411\u8fd0\u52a8\uff0c\u540c\u65f6\u6ce8\u89c6\u68c0\u67e5\u8005\u7684\u9f3b\u5b50\uff0c\u5982\u56fe A\uff0c\u5373\u4e3a\u6c34\u5e73\u7529\u5934\u8bd5\u9a8c\u9634\u6027\uff1b<\/p>\n

\u82e5\u4e00\u4fa7\u524d\u5ead\u529f\u80fd\u635f\u5bb3\uff0c\u968f\u7740\u5934\u90e8\u5411\u60a3\u4fa7\u79fb\u52a8\uff0c\u53d7\u68c0\u8005\u7684\u773c\u7403\u4e0d\u80fd\u6ce8\u89c6\u68c0\u67e5\u8005\u7684\u9f3b\u5b50\uff0c\u800c\u662f\u968f\u7740\u8f6c\u5934\u65b9\u5411\u8fd0\u52a8\uff0c\u968f\u540e\u773c\u7403\u671d\u5411\u89c6\u9776\u5feb\u901f\u626b\u89c6\uff0c\u56de\u590d\u5230\u89c6\u9776\u4e0a\uff08\u5373\u68c0\u67e5\u8005\u7684\u9f3b\u5b50\uff09\uff0c\u5982\u56fe B\uff0c\u5373\u4e3a\u6c34\u5e73\u7529\u5934\u8bd5\u9a8c\u9633\u6027 [2]<\/sup>\u3002<\/p>\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"
\u6ce8\uff1a\u5927\u7bad\u5934\u4e3a\u5934\u90e8\u8f6c\u52a8\u65b9\u5411\uff0c\u5c0f\u7bad\u5934\u4e3a\u773c\u7403\u8fd0\u52a8\u65b9\u5411<\/p>\n

\u5176\u5185\u5728\u673a\u5236\u5728\u4e8e\uff0c\u968f\u7740\u5934\u90e8\u671d\u5411\u4e00\u4fa7\u8f6c\u52a8\uff0c\u9020\u6210\u540c\u4fa7\u524d\u5ead\u611f\u53d7\u5668\u5174\u594b\uff0c\u5f15\u53d1\u540c\u4fa7\u773c\u7403\u7684\u5185\u76f4\u808c\u53ca\u5bf9\u4fa7\u5916\u76f4\u808c\u6536\u7f29\uff0c\u5bfc\u81f4\u773c\u7403\u671d\u5411\u5934\u90e8\u8fd0\u52a8\u76f8\u53cd\u65b9\u5411\u79fb\u52a8\uff0c\u4ece\u800c\u4fdd\u6301\u524d\u9762\u89c6\u9776\u5728\u89c6\u7f51\u819c\u4e2d\u4e1e\u76f8\u7684\u7a33\u5b9a\u4e0e\u6e05\u6670\uff0c\u5373\u773c-\u524d\u5ead\u53cd\u5c04\u3002<\/p>\n

2. \u773c\u9707<\/strong><\/p>\n

\u81ea\u53d1\u6c34\u5e73\u773c\u9707\u4e14\u5411\u773c\u9707\u5feb\u76f8\u6ce8\u89c6\u65f6\u52a0\u91cd\u63d0\u793a\u5468\u56f4\u6027\u7729\u6655\uff0c\u5782\u76f4\u6027\u6216\u65cb\u8f6c\u6027\u773c\u9707\u53ca\u51dd\u89c6\u8bf1\u53d1\u773c\u9707\u63d0\u793a\u4e2d\u67a2\u6027\u53ef\u80fd\u6027\u5927\u3002\u4e0b\u8868\u4e3a\u4e2d\u67a2\u6027\u773c\u9707\u53ca\u5468\u56f4\u6027\u773c\u9707\u7684\u9274\u522b\u3002<\/p>\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"

<\/strong><\/p>\n

3. \u626d\u8f6c\u504f\u659c\u8bd5\u9a8c<\/strong><\/p>\n


<\/p>\n

\u53d7\u68c0\u8005\u76f4\u89c6\u524d\u65b9\uff0c\u68c0\u67e5\u8005\u53d1\u73b0\u53d7\u68c0\u8005\u53cc\u773c\u5728\u5782\u76f4\u65b9\u5411\u4e0d\u540c\u8f74\uff0c\u89c1\u4e0b\u56fe\uff1a<\/span><\/p>\n


\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"
<\/p>\n

\n
\n

\u6b65\u9aa4\u56db\uff1a\u5fc3\u6e90\u6027\u76f8\u5173\u56e0\u7d20\u68c0\u67e5<\/strong><\/p>\n<\/section>\n<\/section>\n


\u4e3b\u8981\u7528\u4e8e\u6000\u7591\u6655\u53a5\u5148\u5146\/\u6655\u53a5\u60a3\u8005\uff0c\u5728\u6655\u53a5\u5148\u5146\/\u6655\u53a5\u75c5\u56e0\u4e2d\uff0c\u98ce\u9669\u6027\u6700\u9ad8\u7684\u75c5\u56e0\u4e3b\u8981\u662f\u5fc3\u6e90\u6027\uff0c\u867d\u7136\u53d1\u75c5\u8f83\u5c11\uff0c\u4f46\u5728\u4e34\u5e8a\u4e0a\u5e94\u5f15\u8d77\u91cd\u89c6\uff0c\u4e0b\u8868\u4e3a\u5bf9\u5fc3\u6e90\u6027\u75c5\u56e0\u5177\u6709\u8b66\u793a\u610f\u4e49\u7684\u75c7\u72b6\u3001\u4f53\u5f81\u3001\u75c5\u53f2\u53ca\u5fc3\u7535\u56fe\u8868\u73b0 [3]<\/sup>\u3002<\/span><\/p>\n


<\/p>\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"<\/p>\n


<\/p>\n

\n
\n
\n

\u6000\u7591\u4e3a\u6655\u53a5\u5148\u5146\/\u6655\u53a5\u7684\u8bca\u6cbb\u6d41\u7a0b<\/span><\/strong><\/p>\n<\/section>\n<\/section>\n

\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"<\/p>\n<\/section>\n<\/section>\n


<\/p>\n

<\/span><\/strong><\/p>\n

\u63a8\u8350\u9605\u8bfb\uff1a<\/strong><\/span>
<\/p>\n


<\/p>\n

\u5e72\u8d27\uff1a\u8111\u52a8\u8109\u5206\u6bb5\u89e3\u6790<\/a>
<\/p>\n


<\/p>\n

4 \u5927\u539f\u56e0\u9020\u6210\u6025\u6027\u8111\u6897\u8840\u7ba1\u68c0\u67e5\u9634\u6027<\/a>
<\/p>\n


<\/p>\n

\u5934\u6655\u548c\u7729\u6655\uff0c\u8fd9\u4e9b\u6982\u5ff5\u7406\u6e05\u4e86\u5417\uff1f<\/a>
<\/p>\n


<\/p>\n

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\u7f16\u8f91 | \u738b\u5f18
<\/span><\/p>\n

\u6295\u7a3f\u53ca\u5408\u4f5c | wanghong@dxy.cn
\u9898\u56fe\u6765\u6e90 | shutterstock<\/span><\/p>\n

\"\u5468\u56f4\u6027\u548c\u4e2d\u67a2\u6027\u7729\u6655\u7684\u8bca\u6cbb\u6d41\u7a0b\uff0c\u503c\u5f97\u6536\u85cf\uff01\"<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n<\/section>\n<\/section>\n<\/section>\n<\/section>\n

\n
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\u53c2\u8003\u6587\u732e\uff1a<\/span><\/p>\n

1. Muncie HL, Sirmans SM, James E: Dizziness: Approach to Evaluation and Management. Am Fam Physician[J] 2017;95:154-162<\/span><\/p>\n

2. Jung I, Kim JS: Approach to dizziness in the emergency department. Clin Exp Emerg Med[J] 2015;2:75-88<\/span><\/p>\n

3. Susanto M: Dizziness: if not vertigo could it be cardiac disease? Aust Fam Physician[J] 2014;43:264-269<\/span><\/p>\n<\/section>\n<\/section>\n<\/section>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"

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