Matschke R G
HNO. 1987 May;35(5):219-21.
There are many drugs marketed for the purpose of altering vascular blood flow in various regions, especially of the central nervous system and in peripheral arterial insufficiency. More than 50 different methods are described for the treatment of sudden deafness. Considerations of the therapy of sudden deafness are influenced by the fact that the cause of the disease is unknown. The dysfunction of the hair-cells of the organ of CORTI is thought to be caused by a deficit of oxygen due to disorders of micro-circulation in the inner ear. The infusion of vaso-active drugs in the early state of disease can lead to a remarkable improvement of hearing whereas the prospect of improvement without treatment remains uncertain. Nevertheless it may be difficult to distinguish the beneficial effects of vasodilator agents from spontaneous improvement. Naftidrofuryl oxalate (dusodril) has been in use for many years and proved its therapeutic value in many studies. It is regarded as non-toxic and is used extensively in Europe. Side effects are only reported rarely, and include decrease of cerebral blood flow, abdominal distension, diarrhoea, oesophageal ulceration, epileptic seizures, aphasia, disturbances of consciousness, hypotension, hypertensive crisis, vertigo and dizziness, depression of cardiac conduction, thrombophlebitis, and allergy. This case report of allergic reaction in a young female patient demonstrates that the intravenous application of this drug may lead to severe complications.
有许多药物用于改变各个区域的血管血流,尤其是中枢神经系统和外周动脉供血不足的区域。治疗突发性耳聋有50多种不同的方法。由于该病病因不明,对突发性耳聋治疗的考量受到影响。柯替氏器毛细胞功能障碍被认为是由于内耳微循环紊乱导致缺氧所致。在疾病早期输注血管活性药物可使听力显著改善,而未经治疗改善的可能性仍不确定。然而,可能难以区分血管扩张剂的有益效果与自然改善。草酸萘呋胺酯(多索茶碱)已使用多年,并在许多研究中证明了其治疗价值。它被认为无毒,在欧洲广泛使用。不良反应很少报道,包括脑血流量减少、腹胀、腹泻、食管溃疡、癫痫发作、失语、意识障碍、低血压、高血压危象、眩晕和头晕、心脏传导抑制、血栓性静脉炎和过敏反应。本例年轻女性患者的过敏反应报告表明,静脉应用该药物可能导致严重并发症。