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临床资料例1,女,7岁.早起右耳突聋.检查:双耳鼓膜正常.ABR检查:右耳110dB短声未引出电位,左耳短声听域50dB.阻抗测听:双耳均为A型曲线,未引出镫骨肌反射,纯音测听患儿不配合.诊断:右耳突聋.治疗:1.能量合剂(5%葡萄糖250ml,辅酶A50单位,ATP20mg)加地塞米松5mg和低分子右旋糖酐250ml交替静点;2.用乙酰螺旋霉素0.1g,维生素B_110mg,B_620mg,烟酸50ng3/日口服;3.上述用药二周后并用中药小柴胡汤加减.例2男,49岁.早起左耳突聋.检查双耳鼓膜正常.阻抗测听:双耳A型曲线,左耳镫骨肌反射未引出.诊断:左耳突聋.治
Clinical data example 1, female, 7 years old, early right deafness. Check: normal eardrum .ABR examination: 110dB short-term right ear leads to no potential, left ear muff sound domain 50dB. Impedance audiometry: both ears For the A-type curve, did not lead to stapedius reflex, pure tone audiometry children do not match. Diagnosis: right ear deafness treatment: 1. Energy mixture (5% glucose 250ml, coenzyme A50 unit, ATP20mg) plus dexamethasone 5mg and Low molecular weight dextran 250ml alternate static point; 2. Acetylspiramycin 0.1g, vitamin B_110mg, B_620mg, nicotinic acid 50ng3 / day orally; 3. The above two weeks after the medication and Xiao Chai Hu Tang decoction Example 2 male, 49 years old Early left ear deafness. Check the ears eardrum normal. Impedance audiometry: bilateral A-type curve, left ear stapedius reflex did not lead to the diagnosis.