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爆炸暴露:前庭后果及相关特征。

Blast exposure: vestibular consequences and associated characteristics.

机构信息

Spatial Orientation Center, Department of Otolaryngology, Naval Medical Center San Diego, CA 92134-2200, USA.

出版信息

Otol Neurotol. 2010 Feb;31(2):232-6. doi: 10.1097/MAO.0b013e3181c993c3.

DOI:10.1097/MAO.0b013e3181c993c3
PMID:20009782
Abstract

OBJECTIVE

To characterize vestibular and related symptoms seen after blast exposure.

STUDY DESIGN

Prospective single-subject design.

SETTINGS

Tertiary care facility and military field hospital.

PATIENTS

Active-duty US Military personnel exposed to blast(s) in Iraq and/or Afghanistan.

INTERVENTIONS

Vestibular function tests, auditory tests, and a structured history and physical examination.

RESULTS

Blast exposure induced vestibular disorders, and related symptoms are significantly different than those seen in blunt head trauma. The vestibular characteristics and objective tests of vestibular function significantly worsen in blast-exposed patients as a function of time between injury and presentation.

CONCLUSION

Blast exposure produces a unique set of vestibular disorders and associated symptoms that progress over time. Understanding the characteristics of these symptoms as they vary over time may be critical in designing treatment strategies that modify long-term outcome.

摘要

目的

描述爆炸暴露后出现的前庭及相关症状。

研究设计

前瞻性单病例设计。

地点

三级护理机构和军事野战医院。

患者

在伊拉克和/或阿富汗经历过爆炸的现役美国军人。

干预措施

前庭功能测试、听觉测试以及结构化的病史和体格检查。

结果

爆炸暴露导致前庭障碍,相关症状与钝性头部创伤明显不同。随着受伤和就诊之间时间的推移,暴露于爆炸中的患者的前庭特征和前庭功能的客观测试显著恶化。

结论

爆炸暴露会产生一系列独特的前庭障碍和相关症状,并随时间推移而进展。了解这些症状随时间变化的特征对于设计改变长期预后的治疗策略可能至关重要。

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