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对77例感音神经性聋患儿的病因、前庭、听功能进行分析,中重度以上耳聋者109耳,平衡及半规管功能异常者占88.9(40/45)、大前庭导水管综合征(LVAS)19例38耳均呈重度聋,为胚胎发育性疾病,平均年龄7.1岁,在言语形成期以后发病者有一定的言语表达能力,若早期发现进行相应的防范,可保存听力,当听力重度障碍应辅以助听器,帮助言语康复;药物中毒性聋15例中,13例26耳为重度聋且是聋哑状态,平均年龄2.8岁,此种后天获得性聋,勿滥用耳毒性药物,可降低发病率。对LVAS及耳毒性聋的发病机理以及防治进行讨论。
The etiology, vestibular function and auditory function were analyzed in 77 children with sensorineural deafness. 109 ears with moderate or severe deafness, 88.9 (40/45) with balance and semicircular canal dysfunction, large vestibular aqueduct syndrome (LVAS), 19 cases of 38 ears were severe deafness, embryonic developmental disease, with an average age of 7.1 years of age, after the speech formation of the onset of a certain speech ability, early detection of the corresponding preventive measures can be saved hearing , When severe hearing disorders should be supplemented with hearing aids to help speech rehabilitation; drug poisoning deafness in 15 cases, 13 cases of 26 ears were severe deaf and deaf-dull state, with an average age of 2.8 years old, acquired acquired deafness, do not Abuse of ototoxic drugs can reduce morbidity. The pathogenesis and prevention of LVAS and ototoxic deafness are discussed.