本文選題：雙耳聽(tīng)力喪失 + 鼓膜緊張部　； 參考：《聽(tīng)力學(xué)及言語(yǔ)疾病雜志》2014年04期

【摘要】：正1臨床資料病例1:女,64歲,有中耳炎病史10年余,因雙耳聽(tīng)力喪失于2013年1月入院。患者4年前雙耳聽(tīng)力開(kāi)始逐步下降,右耳聽(tīng)力下降迅速,很快僅能依靠左耳聽(tīng)覺(jué),1年前左耳因突發(fā)性聾聽(tīng)力降至極重度聾,治療無(wú)好轉(zhuǎn)。專(zhuān)科檢查:右耳鼓膜緊張部小穿孔,鼓室粘膜干燥,無(wú)分泌物,左耳鼓膜緊張部大穿孔,鼓室粘膜充血,鼻腔及鼻咽部未見(jiàn)異常;顳骨薄層CT示雙耳乳突炎,左耳鼓室內(nèi)見(jiàn)肉芽腫形成;MRI示雙耳內(nèi)聽(tīng)道、中樞未見(jiàn)異常;雙耳純音測(cè)聽(tīng)
[Abstract]:Case 1: female, 64 years old, with a history of otitis media for more than 10 years, was admitted to hospital in January 2013 because of binaural hearing loss. Four years ago, the hearing began to decline gradually in both ears, but the hearing of the right ear declined rapidly, and it could only rely on the hearing of the left ear. One year ago, the hearing of the left ear was reduced to extremely severe due to sudden deafness, and there was no improvement in the treatment. Special examination: right ear tympanic membrane tension small perforation, tympanic mucosa dry, no secretion, left ear tympanic membrane tension big perforation, tympanic mucosa hyperemia, nasal cavity and nasopharynx no abnormal. The formation of granuloma in the left ear tympanic chamber showed that the auditory canal in both ears was not abnormal on MRI.
【作者單位】： 南京大學(xué)醫(yī)學(xué)院附屬鼓樓醫(yī)院耳鼻咽喉-頭頸外科;
【基金】：江蘇省臨床醫(yī)學(xué)科技專(zhuān)項(xiàng)(BL2012036) 南京市醫(yī)學(xué)科技發(fā)展重點(diǎn)項(xiàng)目(ZKX13027)聯(lián)合資助
【分類(lèi)號(hào)】：R764

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本文編號(hào)：2038325