摘要
目的:探讨梅毒性感音神经性聋的临床表现、诊断和治疗。方法:回顾性分析3例梅毒性感音神经性聋患者的临床症状、体征、血清学及治疗。结果:3例梅毒性感音神经性聋患者中,2例RPR和TPPA均阳性;1例RPR阴性,TPPA阳性;2例在外院已确诊为梅毒并行驱梅治疗;2例为突发性聋起病,伴有耳鸣,1例为耳鸣起病伴高频听力下降。均已排除了其他原因所致的耳聋耳鸣,治疗后听力无改善。结论:梅毒性感音神经性聋可以突发性聋或耳鸣发病,易漏诊。对病因不明的听力下降,伴有耳鸣、眼球震颤的患者,应行必要的实验室检查以明确诊断。
Objective：To investigate the clinical presentation,diagnosis and therapy of syphilis with sensorineural deafness, Method： Three patients of syphilis with sensorineural deafness were analyzed including the clinical manifestation, serum and therapy response, Result：Three patients of syphilis with sensorineural deafness： 2 cases with rapid plasma reagin （RPR） and treponema pallidum particle agglutination （TPPA） positive,1 case with RPR negative and TPPA positive;2 cases had been diagnosed with syphilis and treated once; 2 cases with sudden sensorineural deafness and tinnitus, 1 case with tinnitus and high-frequency hearing loss, All cases hadn＇t another identified cause of the hearing loss or tinnitus, Their hearing loss level weren＇t improved after therapy, Conclusion,,Sudden hearing loss or nervous tinnitus may be the clinical manifestations of syphilis with sensorineural deafness, It is easy to miss diagnosis in clinical work. Some lab examinations were necessary to diagnose the cases with the etiology unknown of hearing loss, tinnitus or nystagmic.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2008年第13期588-589,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
梅毒
感音神经性聋
Syphilis
Sensorineural deafness
