良性阵发性变位性眩晕误诊五例原因分析

目的分析良性阵发性变位性眩晕(BPPV)的误诊原因,提高社区医生对本病的鉴别诊断能力,减少误诊、误治。方法收集我中心2009年1月—2011年1月5例误诊病例的临床资料进行分析。结果 2例患者误诊为梅尼埃综合征,3例患者误诊为椎动脉供血不足型颈椎病。结论社区全科医生思维较单一,主观意识强,应加强对BPPV的鉴别诊断能力,有效降低误诊率。

Benign Parosysaml Positional Vertigo Being Misdiagnozed:5 Cases Analysis

Objective Through analyzing the causes of misdiagnosis of benign paroxysmal positional vertigo,we were aimed at improving the community general practitioners′ differential diagnosis ability of this disease and reducing misdiagnosis and mistreatment.Methods We collected and analyzed the clinical data of 5 cases who were misdiagnosed in our community from January 2009 to January 2011.Results 2 cases were misdiagnosed as Meniere syndrome and 3 patients were misdiagnosed as cervical spondylosis of vertebral artery insufficiency.Conclusion Community general practitioners′ way of thinking is very direct and subjective,so it is very vital to improve their differential diagnosis ability of BPPV and effectively reduce the rate of misdiagnosis.