心因性头晕诊断治疗课件

心因性头晕的诊断治疗DiagnosisandTreatmentofPsychogenicDizziness2019-05-09心因性头晕的诊断治疗1内容概要头晕的概念及症候、心因性头晕的发生率、心因性头晕的临床表现四、心因性头晕的发病因素五、心因性头晕的治疗六、心因性头晕的鉴别诊断七、心因性头晕的表现举例内容概要2头晕的概念及症候Dizziness:ADiagnosticApproachROBERTEPOST,MD,VirtuaFarmilyMedicineResidecyVoorhees,NewjerseyLORIM.DICKERSON,PharmD,MedicalUniversityofSouthCarolina,CharlestonSouthCarolinaDizzinessaccountsforanestimated5percentofprimarycareclinicvisits.Thepatierallyclassifylibriumtswiththistypeofdizziness.Parkinsondiseaanddiabeticneuropathyshouldbeconsideredwiththediagnosisofdisequilibrium.Psychiatricdisorders,suchaslightheadedness,'Ihofdizzinesscanbeowedwitheasy-to-performphysicalexaminationtests,includingIticbloodplaylittiagnosisisnotobtainedinabout20percentofcases.TreapatruxysllliinforMenieredisease,andsteroidsforvestibularneuritiylechanges.DisequilibiumandlightheadInnerly.ngcause(AFarPhysician.2019:82(4):361-368Copyright2019AmericanAcademyofFamilyPhysicians.J头晕的概念及症候3、头晕的概念及症候“头晕[dizziness]”的概念分类头昏[lightheadedness]:头沉,大脑不清晰感眩晕vertigo]:运动错觉(视觉及主观感觉旋转)晕厥前状态[presyncope]:晕,眼前发黑,心慌x失衡[disequilibrium]:不稳感海军总医院神、头晕的概念及症候4头晕的概念及症候Table1.MainCategoriesofDizzinessofpatlentsDescnpsonWthaizz0e5sverticFalsesenseofmotion,45to54possiblyspinningDIsequilibriumOff-balanceorwobblyupto16FeelingoflosingUpto14cOnsdotrnessorblackIngoutLIghtheadednessvaguesymptomsApproximately20sIblyfeellngdisconnectedwIththeenvironmentIntormationfromreferences4.5,,and8.头晕的概念及症候5心因性头晕诊断治疗课件6心因性头晕诊断治疗课件7心因性头晕诊断治疗课件8心因性头晕诊断治疗课件9心因性头晕诊断治疗课件10心因性头晕诊断治疗课件11心因性头晕诊断治疗课件12心因性头晕诊断治疗课件13心因性头晕诊断治疗课件14心因性头晕诊断治疗课件15心因性头晕诊断治疗课件16心因性头晕诊断治疗课件17心因性头晕诊断治疗课件18心因性头晕诊断治疗课件19心因性头晕诊断治疗课件20心因性头晕诊断治疗课件21心因性头晕诊断治疗课件22心因性头晕诊断治疗课件23心因性头晕诊断治疗课件24心因性头晕诊断治疗课件25心因性头晕诊断治疗课件26心因性头晕诊断治疗课件27心因性头晕诊断治疗课件28心因性头晕诊断治疗课件29心因性头晕诊断治疗课件30心因性头晕诊断治疗课件31心因性头晕诊断治疗课件32心因性头晕诊断治疗课件33心因性头晕诊断治疗课件34心因性头晕诊断治疗课件35心因性头晕诊断治疗课件36心因性头晕诊断治疗课件37心因性头晕诊断治疗课件38心因性头晕诊断治疗课件39心因性头晕诊断治疗课件40心因性头晕诊断治疗课件41心因性头晕诊断治疗课件42心因性头晕诊断治疗课件43心因性头晕诊断治疗课件44心因性头晕诊断治疗课件45心因性