青少年突发性聋的临床特征(附34例报告)

目的：探讨青少年突发性聋（突聋）的临床特点、疗效及影响预后的因素。方法：对３４例（４２耳）１８岁以下青少年突聋患者进行临床观察。结果：①男女患者构成比约为４：１。约１／３患者发病前有较明确的病毒感染史。发病时伴眩晕、耳鸣者分别占４１．２％及７０．６％。初诊时０．２５￣４ＫＨｚ平均听力损失中重度（≥５６ｄＢ）占８４．７％ 间听力曲线全聋型占５４．８％、下降型占２１．４％。②总体疗效为痊愈率４．８％，

A clinical study on sudden deafness in juveniles

Objective:To understand the clinical characteristics,treatment efficacy and the main factors affecting the prognosis of sudden deafness in juveniles.Method:Clinical data of thirty four cases about juvenile with sudden deafness were respectively analysesed.Result:1)The number of male cases is as about four times as that of female cases,nearly one third of the cases had a history of virus infection.2)The total effective rate was 52.4 %.The significantly differences among the different modalities were not found.3)An association was found between the prognosis and the sex,the type of primary audiogram,the course of disease and the degree of hearing loss.The threshold of hearing at 4 000 Hz.was found valuable to judge the prognosis of sudden deafness in juveniles.The influence of the vertigo and tinnitus was not remarkable.Conclusion:Some aspects of sudden deafness in juvenile were similiar to that in adult,however,there are also some special charactristics about it.