中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2010年
11期
916-918
,共3页
吴子明%张素珍%刘兴健%兰兰%杨伟炎%韩东一
吳子明%張素珍%劉興健%蘭蘭%楊偉炎%韓東一
오자명%장소진%류흥건%란란%양위염%한동일
听觉丧失,突发性%眩晕%诊断%预后
聽覺喪失,突髮性%眩暈%診斷%預後
은각상실,돌발성%현훈%진단%예후
Hearing loss,sudden%Vertigo%Diagnosis%Prognosis
目的 分析突发性聋伴发的眩晕的临床特点.方法 回顾性分析2005年1月至2009年7月就诊于解放军总医院眩晕中心的伴发作性眩晕的突发性聋患者96例的临床资料,突发性聋及良性阵发性位置性眩晕(benign paroxysmal positional vertigo,BPPV)的诊断根据中华医学会颁布的指南.分析其前庭功能特点及前庭与耳蜗症状出现的时间关系.结果 96例患者中BPPV23例(24.O%);余73例患者中一侧前庭功能低下者58例(60.4%),前庭功能正常者15例(15.6%).96例患者中46例患者可以提供准确的耳蜗症状与眩晕出现的时间:其中6例(13.0%)耳蜗症状与眩晕同时出现;耳蜗症状与眩晕出现的间隔时间＜1 h者4例(8.7%);1 h≤间隔时间＜24 h者21例(45.7%);13例(28.3%)在耳蜗症状出现数天后出现眩晕,最长为10 d;仅有2例(4.3%)眩晕的出现早于耳蜗症状.结论 突发性聋伴发的眩晕可以表现为前庭功能正常或低下,部分患者可以表现为BPPV,且耳蜗症状一般早于前庭症状出现.
目的 分析突髮性聾伴髮的眩暈的臨床特點.方法 迴顧性分析2005年1月至2009年7月就診于解放軍總醫院眩暈中心的伴髮作性眩暈的突髮性聾患者96例的臨床資料,突髮性聾及良性陣髮性位置性眩暈(benign paroxysmal positional vertigo,BPPV)的診斷根據中華醫學會頒佈的指南.分析其前庭功能特點及前庭與耳蝸癥狀齣現的時間關繫.結果 96例患者中BPPV23例(24.O%);餘73例患者中一側前庭功能低下者58例(60.4%),前庭功能正常者15例(15.6%).96例患者中46例患者可以提供準確的耳蝸癥狀與眩暈齣現的時間:其中6例(13.0%)耳蝸癥狀與眩暈同時齣現;耳蝸癥狀與眩暈齣現的間隔時間＜1 h者4例(8.7%);1 h≤間隔時間＜24 h者21例(45.7%);13例(28.3%)在耳蝸癥狀齣現數天後齣現眩暈,最長為10 d;僅有2例(4.3%)眩暈的齣現早于耳蝸癥狀.結論 突髮性聾伴髮的眩暈可以錶現為前庭功能正常或低下,部分患者可以錶現為BPPV,且耳蝸癥狀一般早于前庭癥狀齣現.
목적 분석돌발성롱반발적현훈적림상특점.방법 회고성분석2005년1월지2009년7월취진우해방군총의원현훈중심적반발작성현훈적돌발성롱환자96례적림상자료,돌발성롱급량성진발성위치성현훈(benign paroxysmal positional vertigo,BPPV)적진단근거중화의학회반포적지남.분석기전정공능특점급전정여이와증상출현적시간관계.결과 96례환자중BPPV23례(24.O%);여73례환자중일측전정공능저하자58례(60.4%),전정공능정상자15례(15.6%).96례환자중46례환자가이제공준학적이와증상여현훈출현적시간:기중6례(13.0%)이와증상여현훈동시출현;이와증상여현훈출현적간격시간＜1 h자4례(8.7%);1 h≤간격시간＜24 h자21례(45.7%);13례(28.3%)재이와증상출현수천후출현현훈,최장위10 d;부유2례(4.3%)현훈적출현조우이와증상.결론 돌발성롱반발적현훈가이표현위전정공능정상혹저하,부분환자가이표현위BPPV,차이와증상일반조우전정증상출현.
Objective To analyze the clinical characteristics of concomitant vertigo in patients with sudden deafness (SD). Methods Ninety-six cases of SD were reviewed retrospectively from January 2005to July 2009. SD and benign paroxysmal positional vertigo (BPPV) were diagnosed according to the guides of China Medical Association. The characteristics of vestibular function and the order of the onset of cochlear and vestibular symptoms were analyzed. Results Of all 96 cases, 23 (24.0%) cases presented with BPPV;58(60.4% ) cases took the form of unilateral vestibular hypofunction and 15( 15.6% ) cases had normal vestibular function. Time interval between cochlear and vestibular symptoms was as follows: 46 patients could tell the exact time of onset of cochlear and vestibular symptoms, of which 6( 13.0% ) cases occurred simultaneously; 4 (8. 7% ) cases presented vertigo within 1 hour after onset of cochlear symptomar hypofunction; 21 (45.7%)cases showed time interval between 1 hour and 24 hours; and 13 (28.3%) cases presented vertigo at several days( less than 10 days) after cochlear symptoms. And only in 2 (4.3%) cases did vertigo occur before cochlear symptoms. Conclusions Concomitant vertigo in idiopathic SD took the forms of normal or abnormal vestibular function, some of which were BPPV. Occurrence of vertigo was after cochlear symptoms.
