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突发性聋或称暴聋,概为感觉神经聋,临床较多见。虽少数病例未经治疗亦可能自行痊愈,但为了尽可能地挽救患者听力应按急症处理。突发性聋的病因不下百余种(Graham等,1978)。经多方检查而病因不明者始可称之为特发性突发性感觉神经聋。近数十年来,大量的文献资料说明迷路病毒感染或血管病变可肯定是突发性感觉神经聋的重要原因。随着诊断水平的不断提高,所谓特发性突发性聋的病例自将日渐减少。本文将病因明确的突发性聋和特发性突发性聋分别叙述。了解前者当有利于排除后者。此外介绍常用的诊疗方法。由于涉猎的文献不多,未免挂一漏万。一、病因明确的突发性聋(一)外伤:颅脑外伤、爆震、迷路震荡及噪声等均可能使听力骤降。因损伤的部位和程度
Sudden deafness or deafness, the general feeling of hearing loss, clinical more common. Although a small number of cases without treatment may also be self-healing, but in order to save the patient’s hearing as much as possible emergency treatment. Sudden deafness causes no fewer than 100 (Graham et al., 1978). After multi-party examination and the etiology of those who can be called idiopathic sudden sensory nerve deafness. In recent decades, a large number of literature shows that labyrinthine virus infection or vascular lesions may be an important cause of sudden sensory nerve deafness. With the continuous improvement of the diagnostic level, the so-called idiopathic sudden deafness will decrease from the present. This article will be clear causes of sudden deaf and idiopathic sudden deaf are described. Know the former when it helps to exclude the latter. In addition, introduce the commonly used treatment methods. Due to the small amount of literature involved, it is impossible to hang on. First, a clear cause of sudden deafness (a) trauma: traumatic brain injury, detonation, labyrinthine shock and noise may make the hearing plunge. Due to the location and extent of injury