突发性感音神经性听力损失：错失的治疗时机。
Sudden sensorineural hearing loss: A missed opportunity for treatment.
作者信息
Ali A H, Salahuddin Z, Salim R
机构信息
(MBBCh BAO) Department of Otorhinolaryngology-Head & Neck Surgery School of Medical Sciences Universiti Sains Malaysia 16150 Kota Bharu, Kelantan Malaysia Email:
(MD, MS ORL HNS) Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Raja Perempuan Zainab II Kelantan, Malaysia.
出版信息
Malays Fam Physician. 2018 Dec 31;13(3):29-30. eCollection 2018.
Sudden sensorineural hearing loss (SSNHL) is an otology emergency and carries significant morbidity if the diagnosis is missed. It can present to any specialty but in our local setting the patient usually presents to primary care as it is easily accessible. We present a case of SSNHL that was initially presented to a primary care centre and the patient was reassured without any investigation being carried out. SSNHL has many causes thus making diagnosis difficult. However, with knowledge of its possible, a diagnosis can be made and appropriate management can be advocated to the patient. Hence, we discuss the three main causes of SSNHL, while emphasizing the immune system-mediated mechanism as the main cause in this case.
突发性感音神经性听力损失（SSNHL）是一种耳科急症，如果漏诊会导致严重的发病率。它可能出现在任何专科，但在我们当地的情况下，患者通常会去初级保健机构就诊，因为那里很容易到达。我们介绍一例最初就诊于初级保健中心的SSNHL病例，患者在未进行任何检查的情况下就得到了安慰。SSNHL有许多病因，因此诊断困难。然而，了解其可能的病因后，就可以做出诊断，并向患者推荐适当的治疗方法。因此，我们讨论了SSNHL的三个主要病因，同时强调免疫系统介导的机制是该病例的主要病因。
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