Kanadys Wiesław Maciej, Oleszczuk Jan
Zespót Opieki Zdrowotnej, Lublinie.
Ginekol Pol. 2005 Mar;76(3):225-7.
Sudden sensorineural hearing loss is defined as sudden, idiopathic, usually unilateral deafness developed at most within 72 hours in previously healthy person. This paper presents very rarely occurring case of sudden sensorineural hearing loss in 23-year-old healthy nulliparous women during an uncomplicated pregnancy. The possibility of therapy of that sudden deafness in pregnant women is restricted by reason of unknown cause of disease. It has been hypothesized that hearing loss may be associated with increased activation of both blood coagulation and fibrinolysis ('hypercoagulable state') which occurs during normal pregnancy. This state may lead to vascular occlusion in the microcirculation of the inner ear by microemboli. It's necessary to take certain predisposing factors into consideration as fluid and sodium retention, emotional instability, situation anxiety, viral and allergic changes. It's essential to conduct a more detailed diagnosis to exclude some organic disorders as otosclerosis, Meniere's disease with non-typical course, especially those which are dangerous for pregnant women's life--preeclampsia-eclampsia and hypertension.
突发性感音神经性听力损失被定义为在既往健康的个体中，突发、特发性、通常为单侧的耳聋，且在最多72小时内发生。本文报道了一名23岁未育健康女性在无并发症的孕期发生突发性感音神经性听力损失这一极为罕见的病例。由于病因不明，孕妇突发性耳聋的治疗可能性受到限制。据推测，听力损失可能与正常孕期出现的凝血和纤维蛋白溶解的激活增加（“高凝状态”）有关。这种状态可能导致内耳微循环因微栓子而发生血管阻塞。有必要考虑某些诱发因素，如液体和钠潴留、情绪不稳定、情境焦虑、病毒和过敏变化。进行更详细的诊断以排除一些器质性疾病至关重要，如耳硬化症、非典型病程的梅尼埃病，尤其是那些对孕妇生命有危险的疾病——先兆子痫-子痫和高血压。
