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[用耳毒性抗生素鼓室内注射治疗梅尼埃病。55例随访研究(作者译)]

[The intratympanic treatment of Menière's disease with ototoxic antibiotics. A follow-up study of 55 cases (author's transl)].

作者信息

Lange G

出版信息

Laryngol Rhinol Otol (Stuttg). 1977 May;56(5):409-14.

PMID:141554
Abstract

Report about 55 patients suffering from severe unilateral Menières disease, seen over a period of 3-10 years. They were treated with intratympanic administration of Streptomycinesulfate or- better -Gentamycinesulfate. The medication was given using a plastic tube inserted behind the annulus by transmeatal approach. 0.1 ml Gentamycinesulfate (earlier Streptomycinesulfate were instillated every 5 hours until the first signs of inner-ear-reaction (nystagmus or vertigo) appeared. -In 90% of the cases vertiginous attacks ceased after therapy. Hearing was preserved in 76%, tinnitus and periaural pressure were influenced markedly.

摘要

报告了55例重度单侧梅尼埃病患者,观察期为3至10年。他们接受了鼓室内注射硫酸链霉素或更佳的硫酸庆大霉素治疗。通过经耳道途径将塑料管插入鼓膜环后部给药。每5小时滴注0.1 ml硫酸庆大霉素(之前使用硫酸链霉素),直至出现内耳反应(眼球震颤或眩晕)的最初迹象。90%的病例在治疗后眩晕发作停止。76%的患者听力得以保留,耳鸣和耳周压迫感也受到显著影响。

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