论文部分内容阅读
儿童药物性耳聋近些年来发病率有所增加,且有“四多一少”的特点,即致残人数多;致残年龄早者多;语言障碍多;听力损失重者多;治疗康复的少。笔者自1993年初至今采用星状神经节药物封闭(星封)治疗儿童药物性耳聋16例取得一定效果,现报告如下。1 临床资料1.1 一般资料 男9例,女7例;年龄2～7岁,其中3～7岁13例,占81％;双耳聋15例,单耳聋1例;病史最长4年,最短半年。16例都具有氨基甙类药物史,均经过音叉、电测听和脑干电反应测听检查。1.2 诊断标准 根据听力残疾标准分耳聋:一级91dB,二级71～90dB,重听:一级56～70dB,二级41～55dB。16例中90dB2例,50～70dB例,70～90dB3例。3岁以前的病人都有语言障碍,3岁以上都能说简单语言但构音不清或语调不协调程度不等。
In recent years, the incidence of drug-induced deaf children has increased, and there are “four more and one less” feature, that is, the number of disabled; early disability as early as many; language disorders and more; severe hearing loss; treatment of rehabilitation less. Since 1993, the author has adopted stellate ganglion drug closure (star closure) for children with drug-induced deafness achieved some results in 16, are as follows. 1 Clinical data 1.1 General information 9 males and 7 females; aged 2 to 7 years old, of which 13 cases aged 3 to 7, accounting for 81%; deafness in 15 cases, deafness in 1 case; up to 4 years history, the shortest six months . 16 cases have a history of aminoglycosides, after both tuning fork, electric audiometry and brainstem response audiometry. 1.2 Diagnostic criteria Deaf hearing loss based on the standard deafness: a 91dB, two 71 ~ 90dB, re-listen: a 56 ~ 70dB, two 41 ~ 55dB. In 16 cases, 90dB2 cases, 50 ~ 70dB cases, 70 ~ 90dB3 cases. Patients before the age of 3 have language problems, and those over 3 years old can speak simple languages but have unclear articulation or inconsistent intonation.