儿童突发性听力下降的临床特征分析

王小亚; 罗仁忠; 陈彦球; 孙昌志; 邹宇; 彭乔琛

doi:10.13201/j.issn.1001-1781.2013.19.008

儿童突发性听力下降的临床特征分析

- 广州市妇女儿童医疗中心耳鼻咽喉科(广州, 510623)

详细信息

通讯作者: 罗仁忠,E-mail:luorenzhong@21cn.com

中图分类号: R764.43

收稿日期: 2013-02-27

Clinical features of sudden hearing loss in children

- Department of Otolaryngology, Guangzhou Women and Children's Medical Center, Guangzhou, 510623, China

More Information

Corresponding author: LUO Renzhong, E-mail: luorenzhong@21cn.com

Received Date: 27 February 2013

摘要

摘要: 目的:探讨儿童突发性听力下降的临床特征和预后,指导临床诊断及治疗。目的: 回顾分析12例(21耳)因突发性听力下降住院治疗的患儿临床资料。结果:12例患儿,单耳发病25%,双耳发病75%,发病时间平均为5.42 d,伴耳鸣4例,眩晕5例;可能病因中,腮腺炎2例,明确的上呼吸道感染史6例,外伤史1例,使用耳毒性药物1例。颞骨CT发现大前庭水管5例。7耳(33.3%)重度听力损失,14耳(66.7%)极重度听力损失。治疗7 d后痊愈6耳(28.6%),有效1耳(4.8%),总有效率为33.3%,无效14耳(66.7%)。5例14 d时复查听力无改变。结论:对于儿童突发性听力下降需行影像学检查排除内耳畸形;小儿突发性听力下降多有明确的病因,且听力损失重,治疗效果欠佳。
- 聋,突发性 /
- 儿童
Abstract: Objective: To investigate the clinical features and prognosis of sudden hearing loss in children, so that to guide clinical diagnosis and treatment.Method: A retrospective review of medical records of 12 hospitalized children(21 ears) suffering from sudden hearing loss was conducted.Result: The study comprised 8 males and 4 females with a mean age of 6.28 years old, among which 25% had a unilateral hearing loss and 75% exhibited bilateral hearing loss. The mean onset time was 5.42 days. Four children had tinnitus and 5 patients showed dizziness. For the possible etiology, 2 cases had mumps, 6 cases had definite upper respiratory infections history, one experienced trauma, and another one took ototoxic drugs. Five patients were proved to come down with the large vestibular aqua duct syndrome by the CT scan. Among the 21 ears, 7 ears were diagnosed severe hearing loss and 14 ears were diagnosed profound hearing loss. After the treatment of 7 days, 6 ears were cured, one ear showed effective change, and 14 ears came out to be ineffective, with the total effective rate of 33.3%. After the 14 days' treatment, there was no improvement for 5 patients.Conclusion: CT scan should be performed on all of the children with hearing loss to exclude the inner ear malformation. Most of the children with sudden hearing loss underwent some clear etiology, showing more severe hearing loss and had a poorer prognosis.
- deafness, sudden /
- children

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