摘要： 眩晕和头晕临床常见，尽管大部分患者预后良好，但血管性眩晕和头晕如不能及时识别，可能导致灾难性后果。目前血管性眩晕和头晕漏诊、诊断泛化和过度检查等问题仍十分显著，《血管性眩晕和头晕：诊断标准》的发布为临床诊断与治疗提供了依据，但实际工作中可能面对更复杂的情况。本文从临床特征、影像学和实验室检查三方面综述血管性眩晕和头晕临床诊断研究进展，以为血管性眩晕和头晕的临床诊断与治疗以及构建更准确的预测模型提供依据。

关键词: 眩晕, 头晕, 卒中, 诊断, 综述

Abstract: Vertigo and dizziness are common clinical symptoms. Although most patients have a good prognosis, vascular vertigo and dizziness can have catastrophic consequences if not recognized promptly. At present, vascular dizziness and vertigo are still very significant problems in clinical missed diagnosis, diagnosis generalization and over examination. The publication of the international "Vascular vertigo and dizziness:diagnostic criteria" provides a basis for clinicians' diagnosis and treatment behavior. However, in practical clinical work, clinicians might have to deal with more complicated situations. This paper reviews the progress of clinical diagnosis of vascular vertigo and dizziness from the aspects of clinical features, imaging and laboratory examination, so as to provide a basis for the clinical diagnosis and treatment of vascular vertigo and dizziness as well as the construction of a more accurate prediction model.

Key words: Vertigo, Dizziness, Stroke, Diagnosis, Review