以突发性聋为首发症状的脑梗塞一例

患者,男,６５岁。右耳听力下降４天,伴高音调耳鸣,头痛,１９９９年１１月以突发性聋入院。检查：纯音测听,右耳中重度感音神经性聋,左耳老年聋（附表）。 声导抗测定镫骨肌反射双耳同侧及对侧的反射阈正常,但右耳的感觉级＜６０ｄＢ。听性脑干反应测试（ＡＢＲ）的各波潜伏期,右耳 Ⅰ波１．４０ ｍｓ,Ⅲ波３．４２ ｍｓ,Ⅴ波５．５０ ｍｓ,波间期Ⅰ－Ⅲ２．０３ｍｓ,Ⅲ～Ⅴ２．０８ｍｓ,Ⅰ－Ⅴ４．１０ｍｓ;左耳Ⅰ波１．６０ ｍｓ,Ⅲ波３．６０ ｍｓ,Ⅴ波５．７５ ｍｓ,波间期 Ⅰ－Ⅲ２．０ ｍｓ,Ⅲ～Ⅴ２．１５ ｍｓ,…     

慢性肾衰患者的听力障碍

慢性肾衰患者的听力障碍罗瑞莲，黄敏，许俊南我们于１９９３年对１８例慢性肾衰的住院病人进行了纯音听阈测试，结果表明，慢性肾衰患者的听阈明显高于对照组（Ｐ＜０．０１），听力损失为双侧基本对称的感音神经性聋，以高频损失为主。１对象与方法１．１对象：慢性肾衰...     

广州市、花县及云浮县部分厂矿鼻咽癌普查情况初步分析

我科于1984年10月～1985年12月在广州市、花县及云浮县部分厂矿进行鼻咽癌普查工作,现将普查情况,综合分析报导如下。一、普查方法及内容: 1.了解家属有无癌病史。 2.个人史:包括嗜好及饮食状况。 3.既往史:包括过去患病史,以及平时有无鼻塞、回缩鼻涕带血、头痛、耳鸣、听觉减退,耳塞感等或其他症状。 4.生活环境:包括住屋、工作环境、烟     

应用橡胶管作上颌窦术后引流的探讨

自1988—1990年,我科对50例因慢性化脓性鼻窦炎或上颌窦囊肿需要作上颌窦根治术的患者。采用橡胶管引流,并与经典的碘仿纱填塞法30例进行对照。结果证明,橡胶管组比碘仿纱组具有一定的优越性,现报道如下。材料 1.橡胶管的制作用医用橡胶管外口径0.7cm,内口径0.6cm,放在铝盒内高压消毒备用。 2.碘仿纱的制作将碘仿50g及灭菌的石蜡油250ml,放入盛器内,搅拌成糊状;后加入乙醚250ml稀释成淡黄色的溶液;再浸入250g纱条并轻轻搓匀拧干,放入棕色的大口灭菌玻璃瓶里备用。     

OBSERVATION OF REMOTE AND RECENT THERAPEUTIC EFFECTS OF ACUPOINT-THREAD EMBEDDING, WESTERN MEDICINE OR ALLIED THERAPY ON PERENNIAL ALLERGIC RHINITIS

Objective: The comparison of the remote and recent therapeutic effects on perennial allergic rhinitis was carried on among single application of acupoint-thread embedding, western medicine (certirizine fl ixonase) and allied therapy. Method: Ninety cases were randomized into thread-embedding group, western medicine group and embedding western medicine group (allied-therapy group), 30 cases in each one.In thread embedding group, Yingxiang (迎香 LI 20) and Feishu (肺俞 BL 13) were selected for thread embedding, once a week, totally 4 treatments were required. In western medicine group, certirizine tablet 10 mg in combination with fl ixonase sprayer was applied once per day, continuously for 30 days in treatment.In allied-therapy group, both of the above methods were adopted continuously for 30 days in treatment. The therapeutic effects were in statistics at the end of treatment and 1 year later. Results: At the end of treatment, in thread-embedding group, 21 cases were remarkably effective, 3 cases effective and 6 cases no effect. In western medicine group, 20 cases were remarkably effective, 3 cases effective and 7 cases no effect. In allied-therapy group, 23 cases were remarkably effective, 2 cases effective and 5 cases no effect. It was shown in statistics that there was no significant difference in therapeutic effects among three groups (P＞0.05). But one year after the end of treatment, it was indicated that in thread-embedding group, 3 cases were remarkably effective, 10 cases effective and 17 cases no effect; in western medicine group, 2 cases were remarkably effective, 9 cases effective and 19 cases no effect; in allied-therapy group, 7 cases were remarkably effective, 11 cases effective and 12 cases no effect. The significant difference in the therapeutic effects had not been presented in the comparison between thread-embedding group and western medicine group (P＞0.05), but that had been presented between allied-therapy group with either of the groups with single therapy applied (P＜0.05). Conclusion: Quite good recent therapeutic effect of either acupoint-thread embedding or western medicine (certirizine flixonase) was achieved on perennial allergic rhinitis. The remote therapeutic effect of allied therapy was more advantageous than that of single application of either thread embedding or western medicine.     

糖尿病患者的听力调查

本文通过对50例糖尿病患者的听力检查,发现其听力减退发生率显著高于正常人;糖尿病控制情况及血脂水平与听力无明显关系;有糖尿病慢性病变者听力减退发生率明显高于无病变者。