Reiss Michael, Reiss Gilfe
Elblandkliniken Radebeul, HNO-Abteilung, Heinrich-Zille-Str. 13, 01445 Radebeul.
Med Monatsschr Pharm. 2012 Nov;35(11):396-406; quiz 407-8.
The aetiology of acute tinnitus is mostly idiopathic like sudden sensorineural hearing loss or caused by noise and rarely infectious or vascular. Therefore there is currently no causal and effective drug therapy available. Although there is a low level of evidence, treatment with glucocorticoids and initially plasma expanding infusions (HES) is recommended for acute tinnitus if there is no spontaneous remission. Intratympanic glucocorticoid therapy can be used as an alternative if there is severe hearing loss together with tinnitus. In chronic tinnitus there is really no indication for pharmacotherapy. Sometimes
急性耳鸣的病因大多与突发性感音神经性听力损失一样是特发性的，或由噪声引起，很少由感染或血管因素导致。因此，目前尚无因果性的有效药物治疗方法。虽然证据水平较低，但对于急性耳鸣，如果没有自发缓解，建议使用糖皮质激素并首先进行扩容输液（羟乙基淀粉）治疗。如果存在严重听力损失伴耳鸣，鼓室内糖皮质激素治疗可作为一种替代方法。对于慢性耳鸣，确实没有药物治疗的指征。有时
