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[去铁胺的耳毒性]

[Ototoxicity of deferoxamine].

作者信息

de España R, Biurrun O, Lorente J, Valls J, Orteu N, Traserra J

机构信息

Servicio de Otorrinolaringología, Hospital Clínic/Facultad de Medicina, Barcelona.

出版信息

An Otorrinolaringol Ibero Am. 1992;19(4):341-7.

PMID:1636908
Abstract

Deferoxamine or desferrioxamine (DFO) is a chelating agent, largely used in patients with chronic renal failure, although it has many side effects, being ototoxicity one of them. In this paper we studied the eventually adverse otologic effects of DFO in 20 patients receiving haemodialysis. A complete audiological evaluation, including pure-tone audiometry, brainstem auditory evoked potentials and high-frequency audiometry, was performed. The results showed a sensorineural hearing loss of retrocochlear origin in 3/20 cases (15%). We can accept that ototoxic effects of DFO are minimal, but no inexistent. Because of these we considered highly recommendable an accurate control of hearing in patients with renal disease receiving DFO.

摘要

去铁胺或去铁敏(DFO)是一种螯合剂,主要用于慢性肾衰竭患者,尽管它有许多副作用,耳毒性是其中之一。在本文中,我们研究了DFO对20例接受血液透析患者最终可能产生的不良耳科影响。进行了包括纯音听力测定、脑干听觉诱发电位和高频听力测定在内的全面听力评估。结果显示,20例中有3例(15%)出现了蜗后性感觉神经性听力损失。我们可以认为DFO的耳毒性作用极小,但并非不存在。因此,我们认为对接受DFO治疗的肾病患者进行精确的听力监测非常必要。

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