40例儿童单侧感音神经性耳聋临床分析

Clinical Analysis on Unilateral Sensorneural Hearing Loss in 40 Children

目的：探讨儿童感音神经性耳聋的临床特征。方法：对４０例单侧感音神经性耳聋患儿进行回顾分析。结果：该类患儿病因较为复杂，４０例中有高热病史者８例，头颅外伤史者７例，流行性腮腺炎后１０例，流行性脑膜炎后２例，化脓性中耳炎后２例，１１例无明显诱因或致聋病史。４０例中有２３例作过治疗，其中１２例有不同程度的改善。结论：对儿童单侧感音神经性耳聋应积极寻找病因及治疗；听性脑干反应检查及镫骨肌反射试验对诊断小年龄组单侧感音神经性耳聋有较好优势。

Objective:To study the clinical characteristics of sensorneural hearing lossMethods:Analyzed 40 children with unilateral sensorneural hearing lossResults:The etiology of unilateral sensorneural hearing loss was complicated8 cases had the history of high fever,7 with cranial trauma,10 were post mumps,2 with purulent otitis media 2 had history of epidemic cerebrospinal meningitis,the rest 11 did not show sure evidence of deafen diseases23 were treated,12 of them were improved more or lessConclusions:More attention should be paid to in detection and treatment in children with unilateral sensorneural hearing lossABR and stapedius muscle reflex test play a major role in the diagnosis of the disease in younger children