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[突发性耳聋的治疗方案]

[Treatment protocol for sudden deafness].

作者信息

Arellano B, García Berrocal J R, Górriz C, González F M, Vicente J, Ramírez Camacho R

机构信息

Servicio de ORL, Clínica Puerta de Hierro, Universidad Autónoma de Madrid.

出版信息

Acta Otorrinolaringol Esp. 1997 Oct;48(7):513-6.

PMID:9489150
Abstract

There are two types of rapidly progressive sensorineural hearing loss: sudden hearing loss, which is generally unilateral and develops in less than 72 hours, and rapidly progressive sensorineural hearing loss, which develops over days or months. The origin of sudden deafness is difficult to establish. Several etiopathogenic factors have been postulated, such as viral infection, autoimmune origin, vascular and metabolic disease, rupture of the labyrinthine membrane, and, recently, immune-mediated inner ear disease. We made a retrospective study of 40 patients seen in our department. Patients were given a combined treatment with steroids, nimodipine, heparin, and oxygen. Patients were divided into two groups by intravenous or oral treatment.

摘要

快速进行性感音神经性听力损失有两种类型

突发性听力损失,通常为单侧,在72小时内发病;以及快速进行性感音神经性听力损失,在数天或数月内发病。突发性耳聋的病因难以确定。已经提出了几种病因因素,如病毒感染、自身免疫性病因、血管和代谢疾病、迷路膜破裂,以及最近的免疫介导性内耳疾病。我们对在我科就诊的40例患者进行了回顾性研究。患者接受了类固醇、尼莫地平、肝素和氧气的联合治疗。患者根据静脉或口服治疗分为两组。

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引用本文的文献

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Steroids for idiopathic sudden sensorineural hearing loss.用于特发性突发性感音神经性听力损失的类固醇药物。
Cochrane Database Syst Rev. 2013 Jul 2;2013(7):CD003998. doi: 10.1002/14651858.CD003998.pub3.