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患者,男,20岁。于1978年12月无诱因耳鸣。耳聋。经用维生素B_1、B_(12)等治疗无效,于1979年6月22日入院。体检:一般情况好,心、肺、肝、脾(-)。双耳道正常,鼓膜短突略突出,光锥缩短。听力尚可,音叉试验:双耳气导、骨导消失,韦勃氏试验不满意。诊断为神经性耳鸣。经肌注维生素B_1、B_(12)、康德灵及针刺治疗,1个月后耳鸣消失,听力恢复正常,于7月29日出院。2个月后再度出现耳鸣、听力减退。9月14日第2次入院。体检:情况与上次相同。用上述疗法加ATP等治疗1个月,耳鸣、耳聋时轻时重,先后多次会诊考虑为伪聋,暗示疗法效果不佳。1980年12月,双耳听力下降明显,诊为神经性耳聋。1981年
Patient, male, 20 years old. In December 1978 no incentive tinnitus. deaf. After treatment with vitamin B_1, B_ (12) and other ineffective, in June 22, 1979 admission. Physical examination: the general situation is good, heart, lung, liver, spleen (-). The ear canal is normal, the tympanic membrane is short and prominent, and the cone of light is shortened. Listening is acceptable, tuning fork test: both ears air guide, bone conduction disappeared, the Weibull test is not satisfied. Diagnosis of neurological tinnitus. After intramuscular injection of vitamin B_1, B_ (12), Kanting and acupuncture, tinnitus disappeared after 1 month and hearing returned to normal. The patient was discharged on July 29. 2 months after the recurrence of tinnitus, hearing loss. September 14 2nd admission. Physical examination: the same as last time. With the above therapy plus ATP and other treatment for 1 month, tinnitus, light weight when deaf, repeated consultations considered as false deaf, suggesting that the effect of treatment is not good. December 1980, hearing loss decreased significantly, diagnosed as neurological deafness. 1981