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临床广泛用阿斯匹林治疗心血管、脑血管疾病,用东莨菪碱治疗运动病,但未见联合用于治疗爆震性耳聋的报道。我们自1988年以来用阿斯匹林与东莨菪碱联合治疗爆震性耳聋5例,取得显著疗效。临床资料一、一般情况男3例,女2例。军人2例,平民3例。年龄在20～50岁。从发病到治疗时间2～120d。听力损失程度按1964年国际标准,以语言频率计,中度耳聋(41～55dB)1例,中重度耳聋(56～89dB)4例。治疗前听力损失分别为50dB、57dB、70dB、83dB、89dB。二、治疗方法东莨菪碱0.6～0.9mg,每日静推1次,阿斯匹林0.25g,3/d,口服。15d为一疗程,停用5d再重复1疗程。用药期间停用其它抗凝药物及扩血管药物,并注意复查血小板及凝血时
Clinical widely used aspirin treatment of cardiovascular, cerebrovascular disease, scopolamine treatment of motion sickness, but no combination of reports for the treatment of detonation deafness. We have used aspirin and scopolamine since 1988 to treat detonation deafness in 5 cases, and achieved a significant effect. Clinical data First, the general situation in 3 males and 2 females. Two soldiers and three civilians. The age of 20 to 50 years old. From onset to treatment time 2 ~ 120d. According to the 1964 international standard, the frequency of hearing loss was 1 case of moderate deafness (41 ~ 55dB) and 4 cases of moderate to severe deafness (56 ~ 89dB). Hearing loss before treatment were 50dB, 57dB, 70dB, 83dB, 89dB. Second, the treatment of scopolamine 0.6 ~ 0.9mg, daily push 1 times, aspirin 0.25g, 3 / d, orally. 15d for a course of treatment, disable 5d and repeat 1 course of treatment. Medication during the suspension of other anticoagulants and vasodilator drugs, and pay attention to review platelets and clotting