突发性感音神经性听力损失作为慢性髓性白血病的首发表现：病例报告
Sudden sensorineural hearing loss as the first manifestation of chronic myeloid leukaemia: case report.
作者信息
Diao M, Tian F, Sun J
机构信息
Centre of Otolaryngology of PLA, Navy General Hospital,Beijing,PR China.
出版信息
J Laryngol Otol. 2014 Nov;128(11):1015-7. doi: 10.1017/S0022215114002102.
BACKGROUND
Sudden sensorineural hearing loss rarely occurs in patients with chronic myeloid leukaemia.
CASE REPORT
We present a case report of a patient who presented with sudden sensorineural hearing loss as the first manifestation of chronic myeloid leukaemia, and review the mechanisms responsible for sudden sensorineural hearing loss in leukaemic patients.
RESULTS
A 31-year-old female presented to our clinic with unilateral sudden sensorineural hearing loss and tinnitus. Pure tone audiometry revealed profound sensorineural hearing loss in the left ear at all frequencies. During an investigation into her hearing loss, the patient was found to have chronic myeloid leukaemia.
CONCLUSION
Every case of sudden sensorineural hearing loss must be carefully evaluated, and haematological disorders must be considered in the differential diagnosis of sudden hearing loss.
背景
突发性感音神经性听力损失在慢性髓性白血病患者中很少见。
病例报告
我们报告一例以突发性感音神经性听力损失为慢性髓性白血病首发表现的患者，并回顾白血病患者突发性感音神经性听力损失的发病机制。
结果
一名31岁女性因单侧突发性感音神经性听力损失和耳鸣前来我院就诊。纯音听力测定显示左耳所有频率均为重度感音神经性听力损失。在对其听力损失进行调查期间，发现该患者患有慢性髓性白血病。
结论
每一例突发性感音神经性听力损失都必须仔细评估，在突发性听力损失的鉴别诊断中必须考虑血液系统疾病。
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