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目的 探讨以突发性听力损失为首发症状病例的可能病因。方法 对 16 0例患者作回顾性分析。结果 近期有病毒感染史者达 36 .9% ;其中上感占 31.3 % ,居首位 ;第二位为血管性因素 ,占 2 6 .9% ;8例与自身免疫性疾病有关 ;2 0例与内淋巴积水 (EH)有关 ,其中 2例诊断为梅尼埃病 ;有噪声暴露史者达 2 5 .6 %。结论 近期有上感史 ,咽部充血即可考虑为病毒性因素 ;血沉升高可作为自身免疫性疾病的非特异性筛选指标 ;与脑血管功能障碍有关的项目应详查 ;详细的过去病史及随访对不同类型EH的诊断至关重要 ;既往各种听损伤耳病史在突聋发病中的意义有待探讨
Objective To explore the possible causes of sudden hearing loss as the first symptom. Methods A retrospective analysis of 160 patients. Results The recent history of virus infection reached 36.9%, of which 31.3% felt the first place, the second place was vascular factors, accounting for 26.9%; 8 cases were related to autoimmune diseases; 20 Cases associated with endolymphatic hydrops (EH), of which 2 cases were diagnosed as Meniere’s disease; noisy exposure history of up to 25.6%. Conclusion There is a sense of recent history, throat congestion can be considered as a viral factor; elevated ESR can be used as a nonspecific screening for autoimmune diseases; items associated with cerebrovascular dysfunction should be scrutinized; detailed past history and The follow-up of different types of EH diagnosis is crucial; the history of various hearing loss ear history in the pathogenesis of sudden deafness to be explored