对1986～1993年作ECochG检查的182例眩晕病人的临床资料进行回顾性分析，发现引起眩晕的疾病14种以上，主要为梅尼埃病、颈性眩晕、蜗后病变、前庭神经炎等，还有突聋、癫痫、植物神经功能紊乱、自身免疫病、链霉素中毒、颅脑外伤、颅底畸形、煤气中毒、贫血等。对引起眩晕的几种主要疾病的症状、体征和实验室检查结果作了描述，对眩晕的诊断和鉴别诊断以及一些实验室检查在眩晕中的诊断价值和应用中应注意的问题进行了讨论。 A retrospective analysis was performed on the clinical data of 182 cases of vertigo patients who underwent ECochG examination from 1986 to 1993. It was found that there were more than 14 kinds of diseases causing dizziness, such as Meniere’s disease, cervical vertigo, retrocochlear disease, vestibular neuritis, There sudden deafness, epilepsy, autonomic dysfunction, autoimmune disease, streptomycin poisoning, traumatic brain injury, skull base deformity, gas poisoning, anemia and so on. The symptoms, signs and laboratory findings of several major diseases that cause dizziness are described. The diagnosis and differential diagnosis of vertigo and the diagnostic value of some laboratory tests in vertigo and the problems to be noticed in the application are discussed.