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颞骨骨折致气迷路1例 被引量：2

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摘要 资料 患者男性,38岁.因头部被打伤后出现头痛、眩晕、右耳听力下降于2013年11月1日入院.患者主诉头部运动可加重眩晕,并伴恶心、呕吐,但入院体格检查未见异常.颅脑薄层CT显示：双侧额叶脑挫伤合并出血、蛛网膜下隙出血.初步诊断为：双侧额叶脑挫伤合并出血、蛛网膜下隙出血、听力下降待查.随即予甘露醇125 mL静脉滴注（每8h1次）、尼莫地平2支静脉泵注（1次/d）脱水等对症治疗.入院后第4天,头痛及眩晕症状减轻,听力无明显改善.请耳鼻喉科会诊,检查可见双外耳道通畅、鼓膜完整,中耳无积液,纯音测听提示右耳全聋,声导抗提示双耳“A”型图.仔细阅读CT片发现右侧颞骨岩部线性骨折,累及半规管总脚、前庭外侧壁,前庭及耳蜗底转可见气泡影（图1～2）.
作者 谢展飞 吴佩娜
机构地区 南方医科大学 广东省人民医院广东省医学科学院耳鼻咽喉头颈外科
出处 《中国眼耳鼻喉科杂志》 2014年第6期402-403,共2页 Chinese Journal of Ophthalmology and Otorhinolaryngology
关键词 颞骨骨折 蛛网膜下隙出血 耳听力下降 迷路 眩晕症状 头部运动 体格检查 入院后
分类号 R764 [医药卫生—耳鼻咽喉科]
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参考文献10

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二级参考文献24

  • 1Lao WW, Niparko JK. Assessment of changes in cochlear function with pneumolabyrinth after middle ear trauma. Otol Neurotol, 2007, 28: 1013-1017.
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  • 7Mafee MF, Valvassori GE, Kumar A, et al. Pneumolabyrinth: a new radiologic sign for fracture of the stapes footplate. Am J Otol, 1984, 5 : 374-375.
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中国眼耳鼻喉科杂志
2014年 第6期

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