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本文报告了在西非和西印度地区土著居民的4例波动性耳聋,重点讨论了临床特征和诊断问题。其中2例诊断美尼尔氏病,经过较全面的听力学检查,呈波动性感觉神经性聋伴有重振,证实为耳蜗病变。耳蜗电图符合内淋巴积水,梅毒血清学检查阴性。内耳道X线相正常,有一例患侧前庭导水管未显现。但美尼尔氏病在黑人中十分罕见。另1例男性,52岁,西印度人二个月来左耳鸣、耳聋、不伴眩晕。13岁在牙买加时,腿和躯干上曾长疮,该时被诊断为雅司病,局部敷药并用注射剂治疗。瓦氏反应(WR)和梅毒玻板法试验(VDRL)阴性,但梅毒螺旋体血凝试验
This paper reports on 4 cases of deafness of indigenous populations in West and West Indies, focusing on clinical features and diagnoses. Two cases were diagnosed with Meniere’s disease, after a more comprehensive audiological examination, a fluctuating sensory nerve deafness accompanied by revitalization, confirmed as cochlear lesions. Cochlear electrogram in line with endolymphatic hydrops, syphilis serology negative. Internal auditory meatus X-ray normal, there is an affected side of the vestibular aqueduct did not appear. But Meniere’s disease is very rare among black people. The other 1 male, 52 years old, West Indians left tinnitus for two months, deaf, without dizziness. Thirteen years old, while in Jamaica, had sores on his legs and torso, when he was diagnosed with yaws, topically applied and treated with an injection. Valsalva (WR) and syphilis (VDRL) negative, but the Treponema pallidum hemagglutination test