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听力突然下降可以是许多疾病的表现,笔者曾遇1例首发症状为听力突然下降的腔隙性脑梗塞患者,报告如下.患者,男,64岁.10年前始感双耳持续性耳鸣,伴听力下降,以右侧为著,并逐渐加重,平常只能用左耳进行语言交流,曾多次用药治疗,疗效不佳.4天前晨起时,左耳耳鸣加重,听力明显下降,至晚间大声喊才能听到,无头痛及眩晕.体检:一般情况好,心肺(一),双耳检查(一);纯音测听示右耳听力损失80dBHL,左耳75dBHL;声阻抗示:镫骨肌反射消失.入院后静滴能量合剂,静注大剂量烟酸并吸氧治
Sudden drop in hearing can be a manifestation of many diseases, I have encountered a case of first episode of sudden hearing loss in patients with lacunar infarction, the report is as follows.Patients, male, 64 years old 10 years ago, the beginning of binaural persistent tinnitus, Accompanied by hearing loss, to the right side of the as, and gradually increased, usually only with the left ear language exchange, has repeatedly medication, poor efficacy .4 days before dawn, left ear tinnitus, hearing decreased significantly, To hear the night loudly to hear, without headache and dizziness. Physical examination: good general condition, cardiopulmonary (A), binaural examination (A); pure tone audiometry showed right ear hearing loss 80dBHL, left ear 75dBHL; Muscle reflex disappeared after intravenous infusion of energy mixture, intravenous high-dose niacin and oxygen treatment