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双侧突发性耳聋的临床特征与治疗(附8例分析)

赖闻 钟时勋 钱怡 胡国华 洪苏玲 康厚墉 沈暘 王玲 胥正艳

中华耳科学杂志Issue(4):597-602,6.
中华耳科学杂志Issue(4):597-602,6.DOI:10.3969/j.issn.1672-2922.2014.04.023

双侧突发性耳聋的临床特征与治疗(附8例分析)

Clinical Characteristics and Treatment of Bilateral Sudden Sensorineural Hearing Loss:A Report of 8 Cases

赖闻 1钟时勋 2钱怡 2胡国华 2洪苏玲 2康厚墉 2沈暘 2王玲 2胥正艳2

作者信息

  • 1. 重庆北部新区第一人民医院耳鼻咽喉科 重庆 401121
  • 2. 重庆医科大学附属第一医院耳鼻咽喉科 重庆 400016
  • 折叠

摘要

Abstract

Objective To report characteristics and treatment outcomes in patients with bilateral sudden sensorineural hearing loss (BSSHL). Methods From Jan 2012 to June 2013, 318 patients with sudden sensorineural hearing loss were treat⁃ed by the authors. Of these, 8 (2.5%) had BSSHL. We reviewed the charts of these 8 patients, focusing on clinical manifesta⁃tions, audiologic characteristics, radiography, laboratory results and treatment outcomes. Results Seven of the 8 patients re⁃ported simultaneous BSSHL, and the other one had sequential BSSHL. Electrocardiogram, CT and MRI were normal in all pa⁃tients. Abnormal white blood cell count was seen in one case, increased blood viscosities in 5 cases, increased virus antibod⁃ies in 6 cases, abnormal glucose in 1 case, abnormal lipid metabolism profile in 1 case, and increased fibrinogen levels in all 8 cases. After combined multiple therapies tailored to each patient based on subtypes of audiogram, complete hearing recov⁃ery was achieved in 1 ear (6.25%), while the rest showed no responses. Conclusion BSSHL is a complex condition with vari⁃able etiological factors and poor prognosis. It may need to be treated based upon subtypes of audiogram.

关键词

耳聋/突发性/测听法/纯音/治疗

Key words

Hearing loss/Sudden/Audiometry/Pure-tone/Therapeutics

分类

医药卫生

引用本文复制引用

赖闻,钟时勋,钱怡,胡国华,洪苏玲,康厚墉,沈暘,王玲,胥正艳..双侧突发性耳聋的临床特征与治疗(附8例分析)[J].中华耳科学杂志,2014,(4):597-602,6.

基金项目

国家临床重点专科建设项目经费资助卫办医政函[2012]649号 ()

中华耳科学杂志

OA北大核心CSCDCSTPCD

1672-2922

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