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題 名 | 全身性疾患與頭暈=Systemic Disorders and Dizziness |
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作 者 | 楊怡和; 鄭博文; 楊庭華; 朱裕民; 黃立華; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:2 1998.04[民87.04] |
頁 次 | 頁41-44 |
分類號 | 416.861 |
關鍵詞 | 眩暈; 頭暈; 全身性疾患; 高脂血症; Vertigo; Dizziness; Systemic disorders; Hyperlipidemia; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:全身性疾患常以眩暈/頭暈為前驅症狀或伴隨症狀,衡諸其病因,端賴二大 因素對內耳之影響,即內在因素與外在因素。內在因素包括:代謝障礙、血管障礙、血液疾 病、神經病變、內分泌的影響、及免疫疾病。外在因素則包括:頭部外傷、噪音傷害、病毒 感染、情緒壓力、藥物中毒、及過敏原等。 方法:自1992年7月至1997年6月,台大醫院耳鼻喉部以內耳症狀頭暈、耳鳴、重聽 為主訴前來求診,且經過一系列聽力平衡檢查者,計6724名。茲由上述病患,分析各種系 統性疾病,在頭暈病人中所佔的比例。 結果:6724名患者中,以高脂血症1028名(15%)佔最多,其次是偏頭痛、高血壓、 糖尿病、頭部外傷、貧血、冠心症,鼻咽癌電療後、梅毒、自體免疫疾病、腦中風、腦腫瘤、 懷孕、低血壓、巴金森症、青光眼、及尿毒症等。 結論:面對主訴頭暈而前來耳鼻喉科求診的患者,全身性疾患的積極問診與檢查,一系 列聽力平衡學的詳細測驗,復加上病例的集中討論,將有助於釐清全身疾患與頭暈之間的關 係,進而尋求正確的治療之道。(中耳醫誌1998; 33:139-142。) |
英文摘要 | Background: Vertigo/dizziness often occurred as a prodromal or an accompanied symptom in systemic disorders such as metabolic disorders, vascular disorders, hematologic disorders, neurological lesions, endocrine disorders, and immunological disorders. Methods: From July 1992 to June 1997, 6724 patients with vertigo, dizziness, tinnitus or hearing loss were enrolled in this study to investigate the prevalence of systemic disorders in dizziness population. Results: Of 6724 patients, 1028 (15%) cases with hyperlipidemia played the top one systemic disorder in dizziness population, followed by migraine, hypertension, diabetes mellitus etc. Conclusions: Patients with vertigo, dizziness, tinnitus and/or hearing loss should be systemically evaluated by history taking, physical examination, blood examination, and a battery of neurotological testing. |
本系統中英文摘要資訊取自各篇刊載內容。