用神经耳科学方法检查看两型地方性克汀病的差别

• 作 者: 王燕楢 金承恩
• 机 构: 天津医学院第二附属医院,青海省地方病防治研究所
• 出 处: 中国地方病防治杂志
• 发表日期: 1988年02期
• 关键词: 地方性克汀病 前庭功能 神经型 听觉功能 语言能力 神经耳科学 前庭中枢 脑干诱发电位 前庭 听觉障碍

我们利用神经耳科学方法,检查了89例地方性克汀病人。其中神经型60例,粘肿型129例。结果显示前庭功能,听觉功能及语言能力、两型病人都有功能障碍的表现。前庭障碍表现为末稍性功能低下或消失及前庭中枢损害;听觉障碍呈感觉性耳聋和听脑干诱发电位(ABR)的异常反应及语言能力差等。但两型病人间在上述的功能障碍发生率和轻重程度上有很大差别,神经型者远较粘肿型者重。

We used neurotracheal methods to examine 89 patients with endemic cretinism. There were 60 cases of neuropathy and 129 cases of visceral swelling. The results showed vestibular function, auditory function and language ability, both types of patients have dysfunction performance. Vestibular disorders manifested as terminal sexual dysfunction or disappearance and vestibular central damage; auditory impairment was sensory deafness and auditory brainstem response (ABR) abnormal reaction and poor language skills. However, the two types of patients in the incidence of dysfunction and the degree of severity is very different from the neurological type than those with heavy type.